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Bay Area Retina Specialists LLC

Ophthalmology in Tampa, FL. Organization (NPI-2).

NPI number1891254512
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1891254512
Entity type
Organization (NPI-2)
Legal business name
Bay Area Retina Specialists LLC
Organization subpart
No
Enumeration date
Mar 13, 2019
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology––Yes

Practice location

4178 N Armenia Ave
Tampa, FL 33607-6429

Phone 813-999-3998 · Fax 813-522-3371

Mailing address

4178 N Armenia Ave
Tampa, FL 33607-6429

Phone 813-999-3998 · Fax 813-522-3371

Other practice locations

2055 Little Rd
Trinity, FL 34655-4421

Phone 813-999-3998 · Fax 813-522-3371

Authorized official

Fayssal El-Jabali
Doctor Provider/Owner
8139993998

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