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Organization
ASTHMA ALLERGY AND IMMUNOLOGY OF TAMPA BAY PA
Active
Organization
ASTHMA ALLERGY AND IMMUNOLOGY OF TAMPA BAY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA PATRICIA MARTIN M.D. (PRESIDENT)
(813) 873-1177
Entity
Organization
Contact information
Practice address
1918 W MARTIN L KING JR BLVD, TAMPA, FL 33607-6510
(813) 873-1177
(813) 873-1166
Mailing address
1918 WEST MARTIN LUTHER KING JR. BLVD, TAMPA, FL 33607-6504
(813) 873-1177
(813) 873-1166
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME88573
FL
Other
Enumeration date
05/04/2007
Last updated
05/16/2012
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