Organization
JAMES A HALEY VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIOT ECHEVARRIA RRT (RESP THERAPIST)
(813) 469-1955
Entity
Organization
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
22520 EAGLES WATCH DR, LAND O LAKES, FL 34639-6773
(813) 469-1955
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
RT 3850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2279C0205X
RRT
FL
Enumeration date
11/13/2006
Last updated
08/22/2020
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