Organization
UPO PA
Active
Other names
Mercy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HASEEB RAHMAN M.D. (DIRECTOR / PRESIDENT)
(813) 551-1150
Entity
Organization
Contact information
Practice address
5101 E BUSCH BLVD, SUITE 11, TAMPA, FL 33617-5380
(813) 551-1150
Mailing address
10615 MISTFLOWER LN, TAMPA, FL 33647-3738
(813) 551-1150
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
03/24/2017
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