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Organization

FRED I RABOW MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
APRIL PUTNAM (OFFICE MANAGER)
(813) 870-1747
Entity
Organization

Contact information

Practice address
2919 W SWANN AVE, SUITE 203, TAMPA, FL 33609-4038
(813) 870-1747
(813) 876-8561
Mailing address
2919 W SWANN AVE, SUITE 203, TAMPA, FL 33609-4038
(813) 870-1747
(813) 876-8561

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0031296
FL
207RC0000X
Cardiovascular Disease Physician
ME0031296
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038190000
FL
Enumeration date
06/18/2010
Last updated
06/18/2010
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