Organization
GEORGE M NORTHRUP M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE M NORTHRUP MD (OWNER)
(813) 350-9500
Entity
Organization
Contact information
Practice address
5100 W KENNEDY BLVD STE 160, TAMPA, FL 33609-1817
(813) 350-9500
(813) 350-9544
Mailing address
5100 W KENNEDY BLVD STE 160, TAMPA, FL 33609-1817
(813) 350-9500
(813) 350-9544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME82344
FL
Other
Enumeration date
10/23/2007
Last updated
11/19/2025
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