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NPI Code Detail

MEDICARE: HEALTHPOINT MEDICAL GROUP INC

MEDICARE: HEALTHPOINT MEDICAL GROUP INC
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1245289248
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHPOINT MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 4902 EISENHOWER BLVD
Second Line : SUITE 300
City : TAMPA
State : FL
Zip : 33634-6344
Country : US
Telephone Number : 813-636-2000
Fax Number : 813-636-2050
Provider Business Practice Location Address
First Line : 14499 N DALE MABRY HWY
Second Line : SUITE 230
City : TAMPA
State : FL
Zip : 33618-2071
Country : US
Telephone Number : 813-963-7788
Fax Number : 813-963-5380
Authorized Official
Title or Position : CORPORATE OFFICE-AUTHORIZED AGENT
Name : SHERRY DORSEY
Credential :
Telephone Number : 813-636-2022
Provider Enumeration Date : 05/08/2006
Last Update Date : 09/03/2008

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Directions to “HEALTHPOINT MEDICAL GROUP INC ” Practice Location

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