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NPI Code Detail

MEDICARE: ADRIANNA ARNELLA UNDERWOOD

MEDICARE:   ADRIANNA ARNELLA UNDERWOOD
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
1261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1245062926
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANNA ARNELLA UNDERWOOD
Provider Business Mailing Address
First Line : 11806 BRUCE B DOWNS BLVD # 1444
Second Line :
City : TAMPA
State : FL
Zip : 33612-5542
Country : US
Telephone Number : 813-420-0124
Fax Number :
Provider Business Practice Location Address
First Line : 1703 UNIVERSITY WOODS PL
Second Line :
City : TAMPA
State : FL
Zip : 33612-2504
Country : US
Telephone Number : 813-420-0124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 08/20/2024

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Directions to “ ADRIANNA ARNELLA UNDERWOOD ” Practice Location

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