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Organization
FAMILY MEDICAL CENTERS OF TAMPA BAY PA
Active
Organization
FAMILY MEDICAL CENTERS OF TAMPA BAY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J IEZZI M.D. (PRESIDENT)
(813) 963-3124
Entity
Organization
Contact information
Practice address
15511 N FLORIDA AVE, SUITE 401, TAMPA, FL 33613-1220
(813) 963-3124
(813) 269-7945
Mailing address
15511 N FLORIDA AVE, SUITE D, TAMPA, FL 33613-1263
(813) 963-3124
(813) 269-7945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0046451
FL
Other
Enumeration date
06/03/2006
Last updated
06/01/2011
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