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Organization
IAN K MUSGRAVE
Active
Organization
IAN K MUSGRAVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN K MUSGRAVE MD (OWNER)
(202) 309-1520
Entity
Organization
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(855) 421-2733
(321) 280-2479
Mailing address
PO BOX 320341, TAMPA, FL 33679-2341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
10/21/2021
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