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Individual

DR. MATHIS LEE BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12901 BRUCE B. DOWNS BLVD., MDC02, TAMPA, FL 33612
(813) 396-9934
Mailing address
3112 W FIELDER ST, TAMPA, FL 33611-2910
(813) 839-7905

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME12216
FL

Other

Enumeration date
05/06/2006
Last updated
08/20/2007
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