Organization
FLORIDA RENAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHEEN MOTIWALA M.D. (PRESIDENT)
(352) 314-3436
Entity
Organization
Contact information
Practice address
2810 W SAINT ISABEL ST, SUITE 101, TAMPA, FL 33607-6375
(352) 552-7832
(352) 315-9197
Mailing address
2810 W SAINT ISABEL ST, SUITE 101, TAMPA, FL 33607-6375
(352) 552-7832
(352) 315-9197
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
02/01/2011
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