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Individual

ANDRES C MARTE-GRAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
(813) 514-8891
Mailing address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
(813) 514-8891

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101239055
VA
207R00000X
Internal Medicine Physician
Primary
ME122527
FL
208M00000X
Hospitalist Physician
ME122527
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015134500
FL
Enumeration date
10/04/2006
Last updated
12/01/2021
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