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Individual

DR. JOHN P LIPPELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
508 S HABANA AVE, SUITE 220, TAMPA, FL 33609-4181
(813) 870-0207
(813) 876-0303
Mailing address
508 S HABANA AVE, SUITE 220, TAMPA, FL 33609-4181
(813) 870-0207
(813) 876-0303

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0043646
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068739100
FL
Enumeration date
03/17/2006
Last updated
07/26/2010
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