Organization
TAMPA BAY HEALTH ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BRIAN VUKMER (CHIEF EXECUTIVE OFFICER)
(412) 651-6015
Entity
Organization
Contact information
Practice address
3500 E FLETCHER AVE, SUITE 400, TAMPA, FL 33613-4708
(813) 974-4173
Mailing address
3500 E FLETCHER AVE, SUITE 400, TAMPA, FL 33613-4708
(813) 974-4173
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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