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NPI Code Detail

MEDICARE: HEALTHPOINT MEDICAL GROUP INC

MEDICARE: HEALTHPOINT MEDICAL GROUP INC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1134178114
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHPOINT MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 4902 EISENHOWER BLVD
Second Line : SUITE 300
City : TAMPA
State : FL
Zip : 33634-6344
Country : US
Telephone Number : 813-636-2000
Fax Number : 813-636-2050
Provider Business Practice Location Address
First Line : 4915 EHRLICH RD
Second Line :
City : TAMPA
State : FL
Zip : 33624-2038
Country : US
Telephone Number : 813-264-6334
Fax Number : 813-264-0067
Authorized Official
Title or Position : CORPORATE OFFICE-AUTHORIZED AGENT
Name : SHERRY DORSEY
Credential :
Telephone Number : 813-636-2022
Provider Enumeration Date : 05/08/2006
Last Update Date : 09/03/2008

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Directions to “HEALTHPOINT MEDICAL GROUP INC ” Practice Location

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