Individual
HOSHEDAR PHEROZE TAMBOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 755-3500
(813) 755-3300
Mailing address
PO BOX 1910, BRANDON, FL 33509-1910
(813) 755-3500
(813) 755-3300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0060434
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373330100
—
FL
Enumeration date
04/03/2006
Last updated
12/03/2020
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