MEDICARE: NINTEL CORPORATION

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	261Q00000X	Clinic/Center	HCC4402	FL

General Provider Information

NPI Number	:	1750484150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NINTEL CORPORATION

Provider Business Mailing Address
First Line	:	3805 HENDERSON BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5013
Country	:	US
Telephone Number	:	813-639-1674
Fax Number	:	813-639-1613

Provider Business Practice Location Address
First Line	:	3805 HENDERSON BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5013
Country	:	US
Telephone Number	:	813-639-1674
Fax Number	:	813-639-1613

Authorized Official
Title or Position	:	DIRECTOR OF PATIENT ACCOUNTS
Name	:	MS. JODI GALBATO
Credential	:
Telephone Number	:	954-577-5836

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	08/22/2020

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Directions to “NINTEL CORPORATION ” Practice Location

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