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Organization

PROSPERO MEDICAL SERVICES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY MANN (CREDENTIALING MANAGER)
(901) 422-7608
Entity
Organization

Contact information

Practice address
8875 HIDDEN RIVER PKWY STE 300, TAMPA, FL 33637-2087
(866) 949-0108
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(866) 949-0108

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
11/30/2021
Last updated
12/27/2021
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