Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Richard Lark Dicicco, MD

Individual provider Surgery Physician · NPI 1811989874

Dr. Richard Lark Dicicco, MD is a General Surgery in Tampa, Florida. Qualified in 1999, 27 years ago. Practices with Greater Tampa Bay Physician Specialists LLC, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
27
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

508 S Habana Ave Ste 160
Tampa, FL 33609-4181
Phone: (813) 877-6000
Fax: (813) 877-6002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME90737 (FL)

Record details

NPI number1811989874
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESJanuary 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Greater Tampa Bay Physician Specialists Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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