Organization · NPI-2

Accidentinjurydrs LLC

Internal Medicine · Tampa, FL

NPI number1912768581
StatusActive
Last updated in NPPESJan 19, 2024

Details

NPI
1912768581
Entity type
Organization (NPI-2)
Legal business name
Accidentinjurydrs LLC
Organization subpart
No
Enumeration date
Jan 19, 2024
Certification date
Jan 19, 2024
Last updated
Jan 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207Q00000X Family Medicine––
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine––
261QP2300X Clinic/Center, Primary Care––

Practice location

502 S Macdill Ave
Tampa, FL 33609-3039

Phone 813-465-9999 · Fax 813-877-1222

Mailing address

502 S Macdill Ave
Tampa, FL 33609-3039

Phone 813-465-9999 · Fax 813-877-1222

Authorized official

Venkata Bireddy
Owner
8134659999

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