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Organization

PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS LLC

Active
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Organization

PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID WOOD (MANAGER)
(813) 549-2134
Entity
Organization

Contact information

Practice address
4730 N HABANA AVE, SUITE 204, TAMPA, FL 33614-7163
(813) 549-2134
(813) 870-1383
Mailing address
4730 N HABANA AVE, SUITE 204, TAMPA, FL 33614-7163
(813) 549-2134
(813) 870-1383

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
06/25/2015
Last updated
06/25/2015
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