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Organization
TAMPA OBSTETRICS, P.A.
Active
Organization
TAMPA OBSTETRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MAYO (DIRECTOR OF OPERATIONS)
(813) 654-2273
Entity
Organization
Contact information
Practice address
1525 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3203
(813) 654-2273
(813) 654-1384
Mailing address
505 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 654-2273
(813) 654-1384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72303
MEDICARE ID-TYPE UNSPECIFIED
FL
Enumeration date
08/20/2013
Last updated
09/25/2014
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