Individual
ALBERT MAYOMBO KABEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
705 SEAGATE DR, TAMPA, FL 33602-5789
(813) 223-9319
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
32280
AZ
207L00000X
Anesthesiology Physician
4301082698
MI
207L00000X
Anesthesiology Physician
ME97928
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
ME97928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09230
BCBS
FL
05
—
280711400
—
FL
Enumeration date
12/19/2006
Last updated
01/05/2009
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