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Individual

DR. KADIR JUSTIN CARRUTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2914 N BOULEVARD, TAMPA, FL 33602
(813) 228-7696
(813) 228-0677
Mailing address
2914 N BOULEVARD, TAMPA, FL 33602-1208
(813) 228-7696
(813) 228-0677

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
136718
FL

Other

Enumeration date
04/28/2014
Last updated
11/07/2018
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