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General NPI Number Information
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NPI Number | 1275108854
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Entity Type | Organization
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Legal Business Name | PRIME ENDOCRINOLOGY OF TAMPA, LLC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 6579 GUNN HWY
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City | TAMPA
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State | FL
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Zip | 33625-4021
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Country | US
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Telephone | 813-433-0035
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Fax | 813-819-3624
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Provider Business Mailing Address
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Address Line | 2410 NORTHSIDE DR
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City | CLEARWATER
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State | FL
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Zip | 33761-2236
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Country | US
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Telephone | 727-499-0356
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Fax | 727-781-3312
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ARCHANA SWAMI
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Credential | MD
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Telephone | 813-433-0035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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