Individual
BILL FOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10729 QUEENS TOWN DR, RIVERVIEW, FL 33579-7186
(813) 672-3497
(813) 741-2418
Mailing address
720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 34677-2937
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A155650
CA
208000000X
Pediatrics Physician
Primary
ME157305
FL
208M00000X
Hospitalist Physician
ME157305
FL
Other
Enumeration date
05/13/2015
Last updated
10/01/2024
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