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Organization
WOMENS CENTER OF HYDE PARK LLC
Active
Organization
WOMENS CENTER OF HYDE PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S PENDERGRAFT IV MD (MANAGER)
(813) 258-5995
Entity
Organization
Contact information
Practice address
502 S MAGNOLIA AVE, TAMPA, FL 33606-2257
(813) 258-5995
(813) 253-3330
Mailing address
502 S MAGNOLIA AVE, TAMPA, FL 33606-2257
(813) 258-5995
(813) 253-3330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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