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Individual

ANJALI BHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
10968 SHELDON RD, TAMPA, FL 33626-4701
(813) 926-4010
(813) 926-5424
Mailing address
10968 SHELDON RD, TAMPA, FL 33626-4701
(813) 926-4010
(813) 926-5424

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105248
FL
363AM0700X
Medical Physician Assistant
PA9105248
FL
363AS0400X
Surgical Physician Assistant
PA9105248
FL

Other

Enumeration date
01/11/2010
Last updated
12/10/2013
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