Organization
KOYO MEDICAL P A
Active
Other names
KOYO MEDICAL P A
Organization subpart
No
Provider details
NPI number
Authorized official
EDET ATING ELENSI MD (PRESIDENT)
(813) 468-1899
Entity
Organization
Contact information
Practice address
19909 TAMIAMI AVE, TAMPA, FL 33647-3366
(813) 468-1899
(813) 428-5657
Mailing address
19909 TAMIAMI AVE, TAMPA, FL 33647-3366
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME90895
FL
Other
Enumeration date
08/27/2012
Last updated
10/19/2012
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