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Organization
FLORIDA AD PHYSICIANS LLC
Active
Organization
FLORIDA AD PHYSICIANS LLC
Active
Parent organization
PROGESSIVE VENTURES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGESSIVE VENTURES LLC
Authorized official
ARUN RAMABADRAN (CEO)
(813) 379-3084
Entity
Organization
Contact information
Practice address
4204 W LINEBAUGH AVE, STE 105, TAMPA, FL 33624
(813) 379-3084
Mailing address
4204 W LINEBAUGH AVE, STE 105, TAMPA, FL 33624
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
NULL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
NULL
2080S0012X
Pediatric Sleep Medicine Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
NULL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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