Organization
ADVANCED MEDICAL OF TAMPA BAY, L.L.C.
Active
Other names
Advanced Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GARY JOSEPH BARBOSA (OWNER)
(727) 787-2158
Entity
Organization
Contact information
Practice address
15619 PREMIERE BLVD., SUITE 204, TAMPA, FL 33624
(727) 396-4188
Mailing address
36181 EASTLAKE ROAD, SUITE 185, PALM HARBOR, FL 34685
(727) 787-2158
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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