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NPI Code Detail

MEDICARE: WILLIAM T BRANCH MD

MEDICARE: WILLIAM T BRANCH MD
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
1305R00000XPreferred Provider Organization19758FL

General Provider Information

NPI Number : 1578831640
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAM T BRANCH MD
Provider Business Mailing Address
First Line : 2919 W SWANN AVE STE 303
Second Line :
City : TAMPA
State : FL
Zip : 33609-4051
Country : US
Telephone Number : 813-877-0463
Fax Number : 813-876-2025
Provider Business Practice Location Address
First Line : 2919 W SWANN AVE STE 303
Second Line :
City : TAMPA
State : FL
Zip : 33609-4051
Country : US
Telephone Number : 813-877-0463
Fax Number : 813-876-2025
Authorized Official
Title or Position : PHYSICIAN
Name : DR. WILLIAM T BRANCH
Credential : MD
Telephone Number : 813-877-0463
Provider Enumeration Date : 12/05/2011
Last Update Date : 12/05/2011

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Directions to “WILLIAM T BRANCH MD ” Practice Location

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