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Organization
TAMPABAY PULMONARY PA
Active
Organization
TAMPABAY PULMONARY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH ACKERMAN (OFFICE ADMINISTRATOR)
(813) 655-9000
Entity
Organization
Contact information
Practice address
402 NOLAND DR, BRANDON, FL 33511-5709
(813) 655-9000
(813) 655-7344
Mailing address
402 NOLAND DRIVE, BRANDON, FL 33511
(813) 655-9000
(813) 655-7344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME48711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38479
BLUECROSS BLUE SHIELD OF
FL
Enumeration date
07/23/2007
Last updated
02/20/2009
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