13701 Bruce B Downs Boulevard
Internal Medicine, Cardiovascular Disease in Tampa, FL. Organization (NPI-2).
NPI number1609280403
StatusActive
Last updated in NPPESJun 19, 2014
Details
- NPI
- 1609280403
- Entity type
- Organization (NPI-2)
- Legal business name
- 13701 Bruce B Downs Boulevard
- Organization subpart
- No
- Enumeration date
- Jun 19, 2014
- Last updated
- Jun 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
Other names
- Suite 101 (Doing Business As)
Practice location
13701 Bruce B Downs BlvdSuite 101
Tampa, FL 33613-4647
Phone 813-979-9580 · Fax 813-979-1574
Mailing address
13701 Bruce B Downs BlvdSuite 101
Tampa, FL 33613-4647
Phone 813-979-9580 · Fax 813-979-1574
Authorized official
Marisol Rodriguez
Billing Manager
8139799580
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