Organization
TAMPA BAY FAMILY PHYSICIANS INC
Active
Other names
Sunstate Doctors Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KHUSHI A. DHALIWAL M.D. (PRESIDENT)
(813) 633-2000
Entity
Organization
Contact information
Practice address
5113 STATE ROAD 674, STE 103, WIMAUMA, FL 33598
(813) 633-2000
(813) 849-9301
Mailing address
5113 STATE ROAD 674, STE 103, WIMAUMA, FL 33598
(813) 633-2000
(813) 849-9301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
ME0059912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007662600
—
FL
Enumeration date
07/09/2012
Last updated
04/20/2024
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