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Organization
PHYSICIAN PARTNERS LLC
Active
Organization
PHYSICIAN PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIRAM SUNDARAMOORTHY (CHIEF COMPLIANCE OFFICER)
(813) 444-5838
Entity
Organization
Contact information
Practice address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(813) 444-5838
(833) 495-7206
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(813) 444-5838
(833) 495-7206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/01/2015
Last updated
11/12/2024
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