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General NPI Number Information
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NPI Number | 1003754219
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Entity Type | Organization
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Legal Business Name | TAMPA PELVIC HEALTH
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 610 S ARMENIA AVE STE 103
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City | TAMPA
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State | FL
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Zip | 33609-4196
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Country | US
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Telephone | 813-489-5177
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 W LEMON ST
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City | TAMPA
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State | FL
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Zip | 33606-1094
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Country | US
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Telephone | 813-489-5177
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KRISTINA CLEMENTS
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Credential | PT, DPT
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Telephone | 813-489-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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