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Organization
NORTH TAMPA PHYSICIAN ASSOCIATES LLC
Active
Organization
NORTH TAMPA PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IHAB HERRAKA MD (PRESIDENT / PHYSICIAN)
(352) 871-0992
Entity
Organization
Contact information
Practice address
5196 MARINER BLVD, SPRING HILL, FL 34609-1802
(352) 871-0992
Mailing address
18130 LONGWATER RUN DR, TAMPA, FL 33647-2211
(352) 871-0992
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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