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2 Tampa General Cir 4th Floor Tampa FL 33606-3603 | |
| (813) 974-2201 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 2 Tampa General Cir, Tampa, Florida |
| Authorized Official Name and Position | Renee M. Dubault (CEO 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: () - | 2 Tampa General Cir 4th Floor Tampa FL 33606-3603 Ph: (813) 974-2201 |
| NPI Number | 1326088295 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326088295 | NPI | - | NPPES |
| 00537 | Other | FL | BLUE CROSS BLUE SHIELD |
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