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General NPI Number Information
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NPI Number | 1215330824
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Entity Type | Organization
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Legal Business Name | GULF TO BAY INFECTIOUS DISEASE CONSULTANTS PLLC
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Dates
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Enumeration Date | 09/28/2014
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 4129 W KENNEDY BLVD STE 2
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City | TAMPA
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State | FL
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Zip | 33609-2254
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Country | US
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Telephone | 813-541-1466
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Fax | 888-249-3323
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Provider Business Mailing Address
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Address Line | PO BOX 320546
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City | TAMPA
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State | FL
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Zip | 33679-2546
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Country | US
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Telephone | 813-541-1466
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Fax | 888-249-3323
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MUDATHIRU BUHARI
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Credential | MD
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Telephone | 813-541-1466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME 111588
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License Number State | FL
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