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NPI Code Detail

MEDICARE: CARE MULTISPECIALTY GROUP LLC

MEDICARE: CARE MULTISPECIALTY GROUP LLC
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
1261QP2300XPrimary Care Clinic/CenterME93900FL

General Provider Information

NPI Number : 1902088347
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE MULTISPECIALTY GROUP LLC
Provider Business Mailing Address
First Line : 19007 BRUCE B DOWNS BLVD
Second Line : SUITE B
City : TAMPA
State : FL
Zip : 33647-2475
Country : US
Telephone Number : 813-221-2273
Fax Number :
Provider Business Practice Location Address
First Line : 19007 BRUCE B DOWNS BLVD
Second Line : SUITE B
City : TAMPA
State : FL
Zip : 33647-2475
Country : US
Telephone Number : 813-221-2273
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SATYA MADHURI GULLAPALLI
Credential : MD
Telephone Number : 813-221-2273
Provider Enumeration Date : 11/28/2007
Last Update Date : 01/11/2008

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Directions to “CARE MULTISPECIALTY GROUP LLC ” Practice Location

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