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13357 N 56th St Tampa FL 33617-1161 | |
| (813) 983-0190 | |
| (813) 983-0247 |
| Full Name | |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 13357 N 56th St, Tampa, Florida |
| Authorized Official Name and Position | John J Dabrowski (PRESIDENT) |
| Authorized Official Contact | 8139830190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
13357 N 56th St Tampa FL 33617-1161 Ph: (813) 983-0190 | 13357 N 56th St Tampa FL 33617-1161 Ph: (813) 983-0190 |
| NPI Number | 1699945394 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 11/13/2008 |
| Medicare PECOS PAC ID | 3072673771 |
|---|---|
| Medicare Enrollment ID | O20081126000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699945394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY5294 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY5294 (Florida) | Secondary |
| Provider Name | John J Dabrowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447289897 PECOS PAC ID: 3072524727 Enrollment ID: I20060510000124 |
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