Organization
CENTER FOR INTERNAL MEDICINE INC TEMPLE TERRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVETTE HERNANDEZ M.D (MEDICAL DIRECTOR)
(813) 985-2333
Entity
Organization
Contact information
Practice address
4941 E BUSCH BLVD, SUITE #140, TAMPA, FL 33617-6056
(813) 985-2333
(813) 989-8746
Mailing address
4941 EAST BUSCH BLVD,, SUITE #140, TEMPLE TERRACE, TAMPA, FL 33617
(813) 985-2333
(813) 989-8746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME54314
FL
Other
Enumeration date
01/13/2011
Last updated
09/21/2011
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