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Anista Corporation

Clinic/Center, Urgent Care in Tampa, FL. Organization (NPI-2).

NPI number1689968596
StatusActive
Last updated in NPPESJun 22, 2011

Details

NPI
1689968596
Entity type
Organization (NPI-2)
Legal business name
Anista Corporation
Organization subpart
No
Enumeration date
Jun 8, 2011
Last updated
Jun 22, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care––Yes

Practice location

10718 Countryway Blvd
Tampa, FL 33626-1733

Phone 813-855-4000 · Fax 813-855-4004

Mailing address

10718 Countryway Blvd
Tampa, FL 33626-1733

Phone 813-855-4000 · Fax 813-855-4004

Authorized official

William Welter
Chairman
3057246421

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