Organization
IDITALYA 10 MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO FERNANDEZ MD (OWNER)
(813) 877-4201
Entity
Organization
Contact information
Practice address
3430 W LAMBRIGHT ST STE 101, TAMPA, FL 33614-4750
(813) 877-4201
(727) 498-0672
Mailing address
3430 W LAMBRIGHT ST STE 101, TAMPA, FL 33614-4750
(813) 877-4201
(727) 498-0672
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
01/12/2024
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