Organization
LARA WITTINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARA M WITTINE MD (PRINCIPAL)
(619) 606-6025
Entity
Organization
Contact information
Practice address
13601 BRUCE B DOWNS BLVD, TAMPA, FL 33613-4657
(813) 615-7410
Mailing address
3804 W GRANADA ST, TAMPA, FL 33629-6807
(619) 606-6025
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/26/2020
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