Organization
TAMPA BAY NEPHROLOGY ASSOCIATES P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY A. BITTLE APRN (AUTHORIZED MANAGER)
(813) 353-8775
Entity
Organization
Contact information
Practice address
4912 N ARMENIA AVE, TAMPA, FL 33603-1402
(813) 353-8775
(813) 353-3956
Mailing address
4912 N ARMENIA AVE, TAMPA, FL 33603-1402
(813) 353-8775
(813) 353-3956
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256336300
—
FL
Enumeration date
08/31/2006
Last updated
12/27/2024
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