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Organization
TAMPA PHYSICIANS GROUP
Active
Organization
TAMPA PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH KOTHARI D.C. (CEO)
(832) 236-2090
Entity
Organization
Contact information
Practice address
6709 RIDGE RD, PORT RICHEY, FL 34668-6834
(832) 236-2090
Mailing address
2643 CALDWELL RD NE, ATLANTA, GA 30319-3118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 105419
FL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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