Organization
GASTROENTEROLOGY SPECIALISTS OF TAMPA BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA ROSARIO (OFFICE SUPERVISOR)
(813) 930-8816
Entity
Organization
Contact information
Practice address
7171 N DALE MABRY HWY, SUITE 305, TAMPA, FL 33614-2630
(813) 930-8816
(813) 932-1856
Mailing address
3633 LITTLE RD, SUITE 104, TRINITY, FL 34655-1815
(727) 372-5547
(727) 372-5976
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME53996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275238700
—
FL
05
—
275993400
—
FL
05
—
275993401
—
FL
Enumeration date
01/25/2007
Last updated
06/24/2008
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