Organization
MCILWAIN MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRIS MCILWAIN M.D. (PRESIDENT)
(813) 971-5550
Entity
Organization
Contact information
Practice address
13801 BRUCE B DOWNS BLVD, SUITE 406, TAMPA, FL 33613-3946
(813) 971-5550
(813) 903-1070
Mailing address
13801 BRUCE B DOWNS BLVD, SUITE 406, TAMPA, FL 33613-3946
(813) 971-5550
(813) 903-1070
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME26737
FL
Other
Enumeration date
05/28/2012
Last updated
07/09/2012
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