Individual
ANOOSHAH EJAZ ATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 MEDICAL PARK DR STE 510, TAMPA, FL 33613-6602
(813) 615-7725
Mailing address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME174456
FL
Other
Enumeration date
04/08/2020
Last updated
11/25/2025
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