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Organization
INTERNAL MEDICINE ASSOCIATES OF NORTH TAMPA PA
Active
Organization
INTERNAL MEDICINE ASSOCIATES OF NORTH TAMPA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A KAHAN M.D. (OWNER)
(813) 968-7830
Entity
Organization
Contact information
Practice address
3661 MADACA LN, TAMPA, FL 33618-2048
(813) 968-7830
(813) 265-9697
Mailing address
3661 MADACA LN, TAMPA, FL 33618-2048
(813) 968-7830
(813) 265-9697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068100
AETNA
—
01
—
45144
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/04/2006
Last updated
09/22/2009
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