Organization
UNIVERSITY OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH ANNE FENNELL MD (FELLOW)
(813) 974-2388
Entity
Organization
Contact information
Practice address
3612 N ARLINGTON AVE, TAMPA, FL 33603-5606
(813) 221-5153
Mailing address
3612 N ARLINGTON AVE, TAMPA, FL 33603-5606
(813) 221-5153
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
ME92381
FL
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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