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Organization
TAMPA BAY INTERNAL MEDICINE INC
Active
Organization
TAMPA BAY INTERNAL MEDICINE INC
Active
Other names
Lakeside Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERAMBHAI T KANKOTIA MD (DOCTOR)
(813) 948-1234
Entity
Organization
Contact information
Practice address
1939 HIGHLAND OAKS BLVD, LUTZ, FL 33559-7323
(813) 948-1234
(813) 949-8408
Mailing address
1939 HIGHLAND OAKS BLVD, LUTZ, FL 33559-7323
(813) 948-1234
(813) 949-8408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2006
Last updated
08/26/2011
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