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Organization
TAMPA BAY UVEITIS CENTER LLC
Active
Organization
TAMPA BAY UVEITIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE LEVY-CLARKE MD (DIRECTOR)
(727) 317-5830
Entity
Organization
Contact information
Practice address
5800 49TH ST N STE S108, ST PETERSBURG, FL 33709-2146
(727) 317-5830
(888) 539-6488
Mailing address
1703 N MCMULLEN BOOTH RD UNIT 764, SAFETY HARBOR, FL 34695-9630
(727) 317-5830
(888) 539-6488
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME99689
FL
Other
Enumeration date
07/07/2015
Last updated
06/12/2020
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