Organization
ADVANCED ENTS OF TAMPA BAY LLC
Active
Parent organization
TRINA E ESPINOLA MD PA
Other names
Trina E Espinola MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINA E ESPINOLA MD PA
Authorized official
TRINA ELENA ESPINOLA M.D. (PRESIDENT)
(727) 553-7100
Entity
Organization
Contact information
Practice address
625 6TH AVE S, SUITE 385, SAINT PETERSBURG, FL 33701-4662
(727) 553-7100
Mailing address
625 6TH AVE S, SUITE 385, SAINT PETERSBURG, FL 33701-4662
(727) 553-7100
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME0064176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268350400
—
FL
Enumeration date
10/05/2006
Last updated
11/13/2008
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