Organization
TAMPA OBSTETRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY BRAXTON (CREDENTIALING SPECIALIST)
(813) 654-2273
Entity
Organization
Contact information
Practice address
2550 W. MLK JR. BLVD., SUITE A, TAMPA, FL 33607
(813) 654-2273
(813) 654-1384
Mailing address
505 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 654-2273
(813) 654-1384
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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