Individual
HUMBERTO ENRIQUE TREJO BITTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-1014
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD455497
PA
207ZP0101X
Anatomic Pathology Physician
Primary
ME153175
FL
207ZP0101X
Anatomic Pathology Physician
MT201181
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD455497
STATE MEDICAL LICENSE
PA
01
—
MT201181
STATE TRAINING MEDICAL LICENSE
PA
Enumeration date
04/02/2015
Last updated
01/06/2022
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