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Organization

TAMPA BAY HOSPITALISTS LLC

Active
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Organization

TAMPA BAY HOSPITALISTS LLC

Active
Other names
Tampa Bay Hospitalists LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CLAUDIA J POULIN (CREDENTIALING SPECIALIST)
(727) 820-1040
Entity
Organization

Contact information

Practice address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-8900
(727) 820-1040
(727) 821-7213
Mailing address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-8900
(727) 820-1040
(727) 821-7213

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—

Other

Enumeration date
02/27/2018
Last updated
04/18/2018
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