Gregory Mcfadden Mdpa

NPI 1407990450 - Internal Medicine - 207R00000X

NPI Details
NPI 1407990450
Enumeration Date 02/15/2007
Last Updated 01/15/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY GREGORY
Position OWNER
Phone (813) 874-2642
Fax
Practice Location
2901 W SAINT ISABEL ST
SUITE #A3
TAMPA FL, 33607-6371, US
Phone (813) 874-2642
Fax
Business Location
4308 ELLENVILLE PL
VALRICO FL, 33594-7147, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME47498
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According to our database, Gregory Mcfadden Mdpa NPI is 1407990450, taxonomy code is 207R00000X and license number is ME47498, license state is located at Florida. Gregory Mcfadden Mdpa physically located at 2901 W Saint Isabel St, Tampa FL, 33607-6371. NPI Number 1033115704 has the healthcare provider type.

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1407990450 NPI number is provided on an as is basis without warranty of any kind. 1407990450 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Mcfadden Mdpa are for informational purposes only.