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NPI Code Detail

MEDICARE: PHYSICIANS HEALTH INC.

MEDICARE: PHYSICIANS HEALTH 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
1261Q00000XClinic/CenterHCC 4753FL
2261Q00000XClinic/CenterHCC 4752FL
3261Q00000XClinic/CenterHCC 4808FL
4261Q00000XClinic/CenterHCC 4813FL

General Provider Information

NPI Number : 1730329335
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS HEALTH INC.
Provider Business Mailing Address
First Line : 2707 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33607-2113
Country : US
Telephone Number : 813-875-5000
Fax Number : 813-879-7211
Provider Business Practice Location Address
First Line : 2707 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33607-2113
Country : US
Telephone Number : 813-875-5000
Fax Number : 813-879-7211
Authorized Official
Title or Position : PRESIDENT
Name : MR. BENJAMIN RIVAS JR.
Credential :
Telephone Number : 813-875-5000
Provider Enumeration Date : 02/23/2009
Last Update Date : 06/09/2012

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Directions to “PHYSICIANS HEALTH INC. ” Practice Location

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