Organization
AGNES UBANI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES UBANI (PHYSICIAN)
(813) 341-7900
Entity
Organization
Contact information
Practice address
10320 N 56TH ST, SUITE 120, TEMPLE TERRACE, FL 33617-4071
(813) 341-7900
Mailing address
PO BOX 16722, TAMPA, FL 33687-6722
(813) 341-7900
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME 84332
FL
Other
Enumeration date
12/06/2007
Last updated
12/18/2007
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