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Organization
OAKSTEAD PRIMARY CARE, INC.
Active
Organization
OAKSTEAD PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANJARI ILESH PATEL M.D. (PRESIDENT)
(813) 968-9695
Entity
Organization
Contact information
Practice address
12855 DARBY RIDGE DR, TAMPA, FL 33624-4304
(813) 968-9695
(813) 264-0342
Mailing address
12855 DARBY RIDGE DR, TAMPA, FL 33624-4304
(813) 968-9695
(813) 264-0342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME90171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274304300
—
FL
Enumeration date
05/12/2006
Last updated
01/20/2009
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