Organization
PREMIER OB GYN OF TAMPA LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R DAVIS MD (AUTHORIZED SIGNER)
(813) 876-6000
Entity
Organization
Contact information
Practice address
2727 W DR MLK BLVD, SUITE 630, TAMPA, FL 33607-6383
(813) 935-8998
(813) 935-0987
Mailing address
2727 W DR MLK BLVD, SUITE 630, TAMPA, FL 33607-6383
(813) 935-8998
(813) 935-0987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/08/2009
Last updated
09/23/2019
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