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NPI Code Detail

MEDICARE: TAMPA OBSTETRICS

MEDICARE: TAMPA OBSTETRICS
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
1174400000XSpecialist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
172303OTHERFLMEDICARE ID-TYPE UNSPECIFIED

General Provider Information

NPI Number : 1518297563
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAMPA OBSTETRICS
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 :
Provider Business Practice Location Address
First Line : 1513 W BUSCH BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-7603
Country : US
Telephone Number : 813-654-2273
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : LINDA MAYO
Credential :
Telephone Number : 813-654-2273
Provider Enumeration Date : 01/13/2010
Last Update Date : 09/25/2014

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Directions to “TAMPA OBSTETRICS ” Practice Location

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