MEDICARE: DEBORAH A TREHY MD PA & PAMELA A PADILLA MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	31997.0000	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	98936	OTHER	FL	BCBS GROUP #

General Provider Information

NPI Number	:	1003812629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBORAH A TREHY MD PA & PAMELA A PADILLA MD PA

Provider Business Mailing Address
First Line	:	2502 W SAINT ISABEL ST
Second Line	:	STE B
City	:	TAMPA
State	:	FL
Zip	:	33607-6355
Country	:	US
Telephone Number	:	813-873-7106
Fax Number	:	813-348-0074

Provider Business Practice Location Address
First Line	:	2502 W SAINT ISABEL ST
Second Line	:	STE B
City	:	TAMPA
State	:	FL
Zip	:	33607-6355
Country	:	US
Telephone Number	:	813-873-7106
Fax Number	:	813-348-0074

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MR. WALLACE A BLACKBURN
Credential	:
Telephone Number	:	813-873-7106

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	09/11/2008

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Directions to “DEBORAH A TREHY MD PA & PAMELA A PADILLA MD PA ” Practice Location

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