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Organization

TAMPA MEDICAL CARE, INC.

Active
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Organization

TAMPA MEDICAL CARE, INC.

Active
Other names
Chandra Bapna MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHANDRA PRAKASH BAPNA MD (MEDICAL DIRECTOR)
(813) 931-2366
Entity
Organization

Contact information

Practice address
5106 N ARMENIA AVE STE 4, TAMPA, FL 33603-1433
(813) 931-2366
(813) 936-8886
Mailing address
5106 N ARMENIA AVE STE 4, TAMPA, FL 33603-1433
(813) 931-2366
(813) 936-8886

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0068445
FL
261QM2500X
Medical Specialty Clinic/Center
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110150380
RR MEDICARE
FL
01
—
201223
AMERIGROUP
FL
01
—
246331
AVMED
FL
01
—
28453
BCBS
FL
05
—
379318400
—
FL
01
—
ME0068445
MEDICAL LICENSE
FL
Enumeration date
07/21/2005
Last updated
01/29/2020
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