Organization
DOCTOR ON DUTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBRAHIM H KARKEVANDIAN MD (PHYSICIAN)
(813) 814-4900
Entity
Organization
Contact information
Practice address
12187 W LINEBAUGH AVE, TAMPA, FL 33626-1732
(813) 814-4900
(813) 814-4900
Mailing address
12187 W LINEBAUGH AVE, TAMPA, FL 33626-1732
(813) 814-4900
(813) 814-4900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS8706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L07000066511
DOCUMENT NUMBER
FL
Enumeration date
03/28/2014
Last updated
03/31/2014
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