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General NPI Number Information
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NPI Number | 1972785285
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Entity Type | Organization
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Legal Business Name | ANIBAL CUEVAS MDPA
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 4600 N HABANA AVE SUITE27
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City | TAMPA
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State | FL
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Zip | 33614-7166
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Country | US
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Telephone | 813-964-0506
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Fax | 813-961-2565
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Provider Business Mailing Address
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Address Line | 2810 W SAINT ISABEL ST STE 201
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City | TAMPA
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State | FL
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Zip | 33607-6375
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Country | US
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Telephone | 813-890-8004
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Fax | 813-290-9691
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANIBAL CUEVAS
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Credential | MD
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Telephone | 813-681-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | ME84561
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License Number State | FL
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