Individual
ANN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002B S CHURCH AVE # 320056, TAMPA, FL 33629-5018
(813) 252-4977
Mailing address
1002B S CHURCH AVE # 320056, TAMPA, FL 33629-5018
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
91571
FL
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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