# PHYSICIAN PARTNERS OF AMERICA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHYSICIAN PARTNERS OF AMERICA HOLDINGS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972909018
- **Legal business name:** PHYSICIAN PARTNERS OF AMERICA HOLDINGS, LLC
- **Authorized official:** RODOLFO GARI MD (PRESIDENT)
- **Authorized official phone:** (813) 549-2134

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2014
- **Last updated:** 11/18/2014
