Organization
COMPREHENSIVE COLORECTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES THEOBALD III DO (PHYSICIAN)
(813) 875-2600
Entity
Organization
Contact information
Practice address
4809 N ARMENIA AVE, SUITE 220, TAMPA, FL 33603-1447
(813) 875-2600
(813) 575-2626
Mailing address
PO BOX 550748, JACKSONVILLE, FL 32255-0748
(803) 808-8070
(803) 808-8074
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
07/23/2008
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