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NPI 1407765993

NPI 1407765993 : HUMANITARY MEDICAL CENTER TOWN N COUNTRY INC : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1407765993
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUMANITARY MEDICAL CENTER TOWN N COUNTRY INC 
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Dates
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    Enumeration Date     |    09/02/2026
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    Last Update Date     |    09/02/2026
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Provider Practice Location Address
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    Address Line         |    6726 HANLEY RD 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33634-4739
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    Country              |    US
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    Telephone            |    813-499-1500
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    Fax                  |    813-499-1499
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Provider Business Mailing Address
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    Address Line         |    4200 W CYPRESS ST STE 690 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33607-4112
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    Country              |    US
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    Telephone            |    813-499-1500
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    Fax                  |    813-499-1499
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     ELIECER  GONZALEZ 
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    Credential           |    
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    Telephone            |    813-468-1866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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