| Emergence, M.A.T. LLC | |
|
13139 W. Linebaugh Ave. Unit 1 Tampa FL 33626 | |
| (813) 328-4120 | |
| (813) 328-4003 |
| Full Name | Emergence, M.A.T. LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 13139 W. Linebaugh Ave. Unit 1, Tampa, Florida |
| Authorized Official Name and Position | Mark Allan Seldes (MEDICAL DOCTOR) |
| Authorized Official Contact | 8132447457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergence, M.A.T. LLC 13139 W. Linebaugh Ave. Unit 1 Tampa FL 33626 Ph: (813) 328-4120 | Emergence, M.A.T. LLC 13139 W. Linebaugh Ave. Unit 1 Tampa FL 33626 Ph: (813) 328-4120 |
| NPI Number | 1275290413 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275290413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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