Organization
NEUROLOGY CLINIC OF TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILE VIDAL ROZAS MD (PRESIDENT)
(813) 480-9815
Entity
Organization
Contact information
Practice address
2933 W COLUMBUS DR, TAMPA, FL 33607-2215
(813) 350-9040
Mailing address
2933 W COLUMBUS DR, TAMPA, FL 33607-2215
(813) 350-9040
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME110145
FL
Other
Enumeration date
08/06/2012
Last updated
10/12/2012
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