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Individual

DR. TEW AMPOL SAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6719 GALL BLVD, STE 107, ZEPHYRHILLS, FL 33542-2571
(813) 782-4113
(813) 788-2460
Mailing address
6719 GALL BLVD, STE 107, ZEPHYRHILLS, FL 33542-2571
(813) 782-4113
(813) 788-2460

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME43869
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068995500
FL
Enumeration date
07/30/2006
Last updated
01/20/2009
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