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Organization
MABEL Z ECHEANDIA
Active
Organization
MABEL Z ECHEANDIA
Active
Other names
mabel echeandia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SADITH DIETZ (ACCOUNT MANAGER)
(813) 890-8004
Entity
Organization
Contact information
Practice address
3333 W WATERS AVE, TAMPA, FL 33614-2758
(813) 960-6066
(813) 930-2053
Mailing address
3333 W WATERS AVE, TAMPA, FL 33614-2758
(813) 930-6066
(813) 930-2053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME67229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005SJ
FLORIDA BLUE
FL
Enumeration date
12/10/2014
Last updated
12/10/2014
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