Organization
ALPHA BRIDGE CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN G WOOD (PRESIDENT)
(813) 558-6561
Entity
Organization
Contact information
Practice address
10150 HIGHLAND MANOR DR, SUITE 300, TAMPA, FL 33610-9712
(813) 558-6500
(813) 558-6572
Mailing address
10150 HIGHLAND MANOR DR, SUITE 300, TAMPA, FL 33610-9712
(813) 558-6500
(813) 558-6572
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001500049
HIGHMARK BCBS
—
01
—
007530458
AETNA
FL
01
—
038U0AL
BLUE CROSS BLUE SHIELD MN
MN
05
—
266544100
—
FL
01
—
34616
BLUE CROSS BLUE SHIELD
FL
01
—
CK4226
UNITED AMERICAN
—
01
—
CK8272
RAILROAD MEDICARE
—
Enumeration date
11/08/2005
Last updated
07/25/2012
Update your record
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