Organization
WEST TAMPA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN M YOUNG MD (OWNER)
(813) 347-8986
Entity
Organization
Contact information
Practice address
2309 W MARTIN LUTHER KING JR BLVD, SUITE 5, TAMPA, FL 33607
(813) 347-8986
Mailing address
2309 W MARTIN LUTHER KING JR BLVD, SUITE 5, TAMPA, FL 33607
(813) 347-8986
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
230900
FL
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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