Organization
KABS GOODWILL, LLC
Active
Parent organization
BEARRS MEDICAL CLINIC
Other names
BEARSS MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEARRS MEDICAL CLINIC
Authorized official
BODE ISHOLA (PRESIDENT)
(813) 977-7804
Entity
Organization
Contact information
Practice address
2806 E BEARSS AVE, TAMPA, FL 33613-2653
(813) 977-7804
Mailing address
2806 E BEARSS AVE, TAMPA, FL 33613-2653
(813) 977-7804
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME102530
FL
Other
Enumeration date
04/08/2010
Last updated
11/19/2010
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