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3515 E Fletcher Ave Mdc 14 Tampa FL 33613-4706 | |
| (813) 974-8900 | |
| (813) 974-3223 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3515 E Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Richard J Sobieray (CFO USF HEALTH) |
| Authorized Official Contact | 8138218038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 917770 Orlando FL 32891-0001 Ph: () - | 3515 E Fletcher Ave Mdc 14 Tampa FL 33613-4706 Ph: (813) 974-8900 |
| NPI Number | 1205876125 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205876125 | NPI | - | NPPES |
| 00537 | Other | FL | BLUE CROSS BLUE SHIELD |
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