Organization
TAMPA MEDICAL CENTER LLC
Active
Other names
BODZE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NISREEN FERNANDEZ (OWNER)
(813) 474-8342
Entity
Organization
Contact information
Practice address
5535 MEMORIAL HWY, TAMPA, FL 33634-7332
(813) 474-8342
Mailing address
5535 MEMORIAL HWY, TAMPA, FL 33634-7332
(813) 474-8342
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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