Individual
SANDRA BIRKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-5682
Mailing address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-5682
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME148240
FL
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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