Organization
ID TEAM PA
Active
Organization
ID TEAM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL IRBY MD (PRESIDENT)
(813) 226-7961
Entity
Organization
Contact information
Practice address
201 14TH STREET SW, LARGO, FL 33770
(727) 420-6374
(813) 355-0810
Mailing address
10460 ROOSEVELT BLVD N # 169, SAINT PETERSBURG, FL 33716-3821
(727) 420-6374
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
07/08/2020
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