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NPI Code Detail

MEDICARE: KINGSWAY MEDICAL CENTER INC

MEDICARE: KINGSWAY MEDICAL CENTER 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
1208000000XPediatrics PhysicianME59296FL

General Provider Information

NPI Number : 1992996557
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINGSWAY MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 407 N PARSONS AVE
Second Line : SUITE 102A
City : BRANDON
State : FL
Zip : 33510-4537
Country : US
Telephone Number : 813-655-5807
Fax Number : 813-655-9817
Provider Business Practice Location Address
First Line : 407 N PARSONS AVE
Second Line : SUITE 102A
City : BRANDON
State : FL
Zip : 33510-4537
Country : US
Telephone Number : 813-655-5807
Fax Number : 813-655-9817
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANILKUMAR R PATEL
Credential : MD
Telephone Number : 813-655-5807
Provider Enumeration Date : 08/07/2007
Last Update Date : 08/07/2007

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Directions to “KINGSWAY MEDICAL CENTER INC ” Practice Location

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