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Dr. Henria M Fain, M.D., DPT, ATC

Internal Medicine in Tampa, FL. Individual provider (NPI-1).

NPI number1487836680
StatusActive
Last updated in NPPESDec 13, 2023

Details

NPI
1487836680
Entity type
Individual (NPI-1)
Name
Dr. Henria M Fain
Credential
M.D., DPT, ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 29, 2007
Certification date
Dec 10, 2023
Last updated
Dec 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME133303FLYes
225100000X Physical Therapist10700WI
225100000X Physical Therapist19365FL

Other names

  • Henria M Davis (Former Name)

Practice location

800 W. Martin Luther King Jr. Blvd
Suite 4
Tampa, FL 33603

Phone 813-743-4383 · Fax 888-713-4253

Mailing address

Po Box 75496
Tampa, FL 33675-0496

Phone 813-743-4383 · Fax 888-713-4253

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