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Organization
INTERNAL MEDICINE & PEDIATRICS OF TAMPA BAY PA
Active
Organization
INTERNAL MEDICINE & PEDIATRICS OF TAMPA BAY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK D DEMERY MD (TREASURER)
(813) 961-2222
Entity
Organization
Contact information
Practice address
10111 WILSKY BLVD, TAMPA, FL 33625
(813) 961-2222
(813) 961-2220
Mailing address
10111 WILSKY BLVD, TAMPA, FL 33625
(813) 961-2222
(813) 961-2220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME82542
FL
207R00000X
Internal Medicine Physician
ME87304
FL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
ME82542
FL
208000000X
Pediatrics Physician
ME87304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267054200
—
FL
05
—
267055100
—
FL
05
—
267056900
—
FL
Enumeration date
05/11/2006
Last updated
01/10/2013
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