Organization
NOVA DIAGNOSTICS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO GUERRA (OWNER)
(786) 205-3186
Entity
Organization
Contact information
Practice address
4019 W WATERS AVE, SUITE A, TAMPA, FL 33614-1949
(786) 205-3186
Mailing address
4019 W WATERS AVE, SUITE A, TAMPA, FL 33614-1949
(786) 205-3186
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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