Organization
NEW TAMPA HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIUBIS MIRANDA (OWNER)
(813) 527-4197
Entity
Organization
Contact information
Practice address
500 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603-3402
(813) 440-6355
Mailing address
500 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603-3402
(813) 440-6355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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