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Organization

MARY LEE JOSEY MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY LEE JOSEY M.D., P.A. (PRESIDENT)
(813) 873-1426
Entity
Organization

Contact information

Practice address
508 S HABANA AVE, SUITE 350, TAMPA, FL 33609
(813) 873-1426
Mailing address
508 S HABANA AVE, SUITE 350, TAMPA, FL 33609
(813) 873-1426

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME0053792
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07663
BCBS
FL
Enumeration date
10/06/2008
Last updated
02/11/2009
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