Organization
13701 BRUCE B DOWNS BOULEVARD
Active
Other names
Suite 101
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARISOL RODRIGUEZ (BILLING MANAGER)
(813) 979-9580
Entity
Organization
Contact information
Practice address
13701 BRUCE B DOWNS BLVD, SUITE 101, TAMPA, FL 33613-4647
(813) 979-9580
(813) 979-1574
Mailing address
13701 BRUCE B DOWNS BLVD, SUITE 101, TAMPA, FL 33613-4647
(813) 979-9580
(813) 979-1574
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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