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Individual

EMIL GAITOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13000 BRUCE B DOWNS BLVD, 127, TAMPA, FL 33612-4745
(813) 972-7633
Mailing address
6311 COLONIAL GRAND DR, 206, TAMPA, FL 33647-3696
(917) 597-3644

Taxonomy

Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
260285
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50977
LA
Enumeration date
05/25/2007
Last updated
04/22/2013
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