Organization
PIONEER MEDICAL GROUP CLINIC FOUNDATION
Active
Parent organization
PIONEER MEDICAL GROUP, PL
Other names
Pioneer Medical Foundation
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIONEER MEDICAL GROUP, PL
Authorized official
MASOOD KHAN MD (VICE PRESIDENT)
(813) 943-7784
Entity
Organization
Contact information
Practice address
3500 E FLETCHER AVE STE 222, TAMPA, FL 33613-4712
(813) 450-7231
(786) 868-0001
Mailing address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 450-7231
(786) 868-0001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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