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Organization
ADVANCED TAMPA BAY FOOT CARE
Active
Organization
ADVANCED TAMPA BAY FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN Q LE (OWNER)
(813) 831-3813
Entity
Organization
Contact information
Practice address
4543 S MANHATTAN AVE, SUITE 104, TAMPA, FL 33611-2330
(813) 831-3813
Mailing address
4543 S MANHATTAN AVE, SUITE 104, TAMPA, FL 33611-2330
(813) 831-3813
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2234
FL
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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