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

John Dietrick III, MD

Individual provider Surgery Physician · NPI 1124103528

John Dietrick III, MD is a Surgery Physician in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3000 Medical Park Dr Ste 330
Tampa, FL 33613-4680
Phone: (813) 971-2470
Fax: (813) 971-2491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME88224 (FL)

Record details

NPI number1124103528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESDecember 19, 2008
Mailing address1904 W Morrison Ave, Tampa, FL 33606-2831

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