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Organization

AMERICAN WELL CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYDD LEGRANDE MD (MD)
(813) 935-3283
Entity
Organization

Contact information

Practice address
6802 N. ARMENIA AVE, TAMPA, FL 33604
(813) 935-3283
(813) 935-3748
Mailing address
6802 N. ARMENIA AVE, TAMPA, FL 33604
(813) 935-3283
(813) 935-3748

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD0069491
FL

Other

Enumeration date
10/19/2009
Last updated
10/19/2009
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