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Individual

LAYLA R. TOWNSEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
625 6TH AVENUE SOUTH, SUITE #350, ST PETERSBURG, FL 33701
(727) 456-0080
(727) 456-0089
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101014886
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
OS10467
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
473433711
MI
01
700H262210
BLUE CROSS-BLUE CROSS
01
LT014886
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
11/29/2006
Last updated
01/14/2010
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