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Organization
ACCIDENTINJURYDRS LLC
Active
Organization
ACCIDENTINJURYDRS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA BIREDDY M.D (OWNER)
(813) 465-9999
Entity
Organization
Contact information
Practice address
502 S MACDILL AVE, TAMPA, FL 33609-3039
(813) 465-9999
(813) 877-1222
Mailing address
502 S MACDILL AVE, TAMPA, FL 33609-3039
(813) 465-9999
(813) 877-1222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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