Organization
JAIME F CASELLAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME F CASELLAS MD (PRESIDENT)
(813) 870-3278
Entity
Organization
Contact information
Practice address
4600 N HABANA AVE, SUITE 13, TAMPA, FL 33614-7112
(813) 870-3278
Mailing address
4600 N HABANA AVE, SUITE 13, TAMPA, FL 33614-7112
(813) 870-3278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0021457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055202000
—
FL
Enumeration date
07/21/2008
Last updated
08/07/2008
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