Individual
MICHAEL NOTBOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6012 YEATS MANOR DR, UNIT 102, TAMPA, FL 33616-1444
(813) 540-6733
Mailing address
PO BOX 173103, TAMPA, FL 33672-1103
(813) 540-6733
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
—
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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