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Organization
PREMIUM HEALTH SERVICES OF TAMPA BAY
Active
Organization
PREMIUM HEALTH SERVICES OF TAMPA BAY
Active
Other names
Express Care of Tampa Bay
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAWAJA RAHMAN MD (OWNER)
(813) 641-0068
Entity
Organization
Contact information
Practice address
4018 HIGHVIEW RD., SEFFNER, FL 33584-4923
(813) 651-4100
(813) 651-4111
Mailing address
11752 E MLK BLVD, SEFFNER, FL 33584-4923
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
ME79013
FL
Other
Enumeration date
06/14/2012
Last updated
06/25/2019
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