Individual
DR. TAD ROBERT CONNINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23546 STATE ROAD 54, LUTZ, FL 33559-6753
(813) 990-7443
(813) 864-7443
Mailing address
23546 STATE ROAD 54, LUTZ, FL 33559-6753
(813) 990-7443
(813) 864-7443
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME107101
FL
Other
Enumeration date
09/15/2010
Last updated
03/16/2011
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