Organization
MEDICAL ASSOCIATES OF TAMPA BAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASHA NOE D.O, PHD (OWNER)
(813) 641-0007
Entity
Organization
Contact information
Practice address
6150 N US HIGHWAY 41, APOLLO BEACH, FL 33572-1806
(813) 641-0007
Mailing address
6150 N US HIGHWAY 41, APOLLO BEACH, FL 33572-1806
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS11031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639308992
NPI
FL
Enumeration date
06/12/2012
Last updated
06/12/2012
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