West Tampa Medical Clinic

NPI 1568782134 - Clinic/Center - 261QP2300X

NPI Details
NPI 1568782134
Enumeration Date 06/07/2010
Last Updated 06/07/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JUAN M JUAN
Position OWNER
Phone (813) 347-8986
Fax
Practice Location
2309 W MARTIN LUTHER KING JR BLVD
SUITE 5
TAMPA FL, 33607, US
Phone (813) 347-8986
Fax
Business Location
2309 W MARTIN LUTHER KING JR BLVD
SUITE 5
TAMPA FL, 33607, US
Phone (813) 347-8986
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Florida
License Number 230900
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According to our database, West Tampa Medical Clinic NPI is 1568782134, taxonomy code is 261QP2300X and license number is 230900, license state is located at Florida. West Tampa Medical Clinic physically located at 2309 W Martin Luther King Jr Blvd, Tampa FL, 33607. NPI Number 1033115704 has the healthcare provider type.

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1568782134 NPI number is provided on an as is basis without warranty of any kind. 1568782134 is maintained by the National Plan & Provider Enumeration System. The contents of West Tampa Medical Clinic are for informational purposes only.