Individual
KEILA JOSEFINA AGRAMONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 BLUE TEE CT APT 202, TAMPA, FL 33613-3501
(602) 884-2030
Mailing address
4505 BLUE TEE CT APT 202, TAMPA, FL 33613-3501
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
024178
PR
Other
Enumeration date
12/02/2024
Last updated
12/11/2024
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