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Organization
TAMPA BAY PULMONARY ASSOCIATES,P.A.
Active
Organization
TAMPA BAY PULMONARY ASSOCIATES,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOK K MODH M.D. (PRESIDENT)
(813) 935-5501
Entity
Organization
Contact information
Practice address
2810 W WATERS AVE, TAMPA, FL 33614-1853
(813) 935-5501
(813) 933-8784
Mailing address
2810 W WATERS AVE, TAMPA, FL 33614-1853
(813) 935-5501
(813) 933-8784
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053742000
—
FL
01
—
72916
BCBS
FL
01
—
C12157
RR MEDICARE
FL
Enumeration date
07/04/2006
Last updated
07/09/2008
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