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Individual

DR. KRISTINE DAY BRENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2814 W VIRGINIA AVE, TAMPA, FL 33607
(813) 262-1330
Mailing address
2814 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 262-1330

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
140218
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1034224
FL
Enumeration date
04/08/2013
Last updated
10/14/2024
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