Organization
TAMPA UROLOGY PA
Active
Other names
Malcolm Root MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALCOLM ROOT MD (OWNER PRESIDENT)
(813) 253-3007
Entity
Organization
Contact information
Practice address
1209 W SWANN AVE, TAMPA, FL 33606-2639
(813) 253-3007
(813) 253-2098
Mailing address
1209 W SWANN AVE, TAMPA, FL 33606-2639
(813) 253-3007
(813) 253-2098
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
05 8026
FL
Other
Enumeration date
06/22/2006
Last updated
03/04/2008
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