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Organization
SOUTH TAMPA MEDICAL ASSOCIATES INC
Active
Organization
SOUTH TAMPA MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD MENNEN MD (PHYSICIAN)
(813) 890-8004
Entity
Organization
Contact information
Practice address
3614 W KENNEDY BLVD, SUITE B, TAMPA, FL 33609-2852
(813) 890-8004
(813) 290-9691
Mailing address
3614 W KENNEDY BLVD, SUITE B, TAMPA, FL 33609-2852
(813) 890-8004
(813) 290-9691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS0003135
FL
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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