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NPI Code Detail

MEDICARE: OSTOMY&URINARY CENTER OF TAMPA,INC.

MEDICARE: OSTOMY&URINARY CENTER OF TAMPA,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
1332B00000XDurable Medical Equipment & Medical Supplies1312510FL

General Provider Information

NPI Number : 1184775173
Entity Type Code : Organization
Provider Name (Legal Business Name) : OSTOMY&URINARY CENTER OF TAMPA,INC.
Provider Business Mailing Address
First Line : 1441 EAST FLETCHER AVE.
Second Line : SUITE 137
City : TAMPA
State : FL
Zip : 33612
Country : US
Telephone Number : 813-265-2520
Fax Number : 813-264-5931
Provider Business Practice Location Address
First Line : 1441 EAST FLETCHER AVE.
Second Line : SUITE 137
City : TAMPA
State : FL
Zip : 33612
Country : US
Telephone Number : 813-265-2520
Fax Number : 813-264-5931
Authorized Official
Title or Position : PRESIDENT/GENERAL MANAGER
Name : MR. HOSSEIN A YAZDI
Credential :
Telephone Number : 813-265-2520
Provider Enumeration Date : 01/16/2007
Last Update Date : 05/23/2011

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