Organization
HABANA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETELL PADRON (PRESIDENT)
(813) 871-6064
Entity
Organization
Contact information
Practice address
5352 N HABANA AVE STE 1, TAMPA, FL 33614-6838
(813) 871-6064
(813) 871-6025
Mailing address
5352 N HABANA AVE STE 1, TAMPA, FL 33614-6838
(813) 871-6064
(813) 871-6025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC5013
FL
Other
Enumeration date
09/07/2010
Last updated
01/14/2011
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