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NPI Code Detail

MEDICARE: TAMPA OBSTETRICS, P.A.

MEDICARE: TAMPA OBSTETRICS, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033512264
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAMPA OBSTETRICS, P.A.
Provider Business Mailing Address
First Line : 505 OAKFIELD DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5700
Country : US
Telephone Number : 813-654-2273
Fax Number : 813-654-1384
Provider Business Practice Location Address
First Line : 4503 NORTH 22ND STREET
Second Line :
City : TAMPA
State : FL
Zip : 33610-6201
Country : US
Telephone Number : 813-654-2273
Fax Number : 813-654-1384
Authorized Official
Title or Position : DIRECTOR
Name : LINDA MAYO
Credential :
Telephone Number : 813-654-2273
Provider Enumeration Date : 10/02/2014
Last Update Date : 06/01/2015

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Directions to “TAMPA OBSTETRICS, P.A. ” Practice Location

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