| N/a | |
|
3225 S Macdill Ave Ste 129-313 Tampa FL 33629-8171 | |
| (813) 200-8857 | |
| (813) 200-1319 |
| Full Name | N/a |
|---|---|
| Speciality | Internal Medicine |
| Location | 3225 S Macdill Ave Ste 129-313, Tampa, Florida |
| Authorized Official Name and Position | Sajat Agarwal (OWNER) |
| Authorized Official Contact | 8132008857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 3225 S Macdill Ave Ste 129-313 Tampa FL 33629-8171 Ph: (813) 200-8857 | N/a 3225 S Macdill Ave Ste 129-313 Tampa FL 33629-8171 Ph: (813) 200-8857 |
| NPI Number | 1003555665 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003555665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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