Organization
TAMPA BAY PREMIER OBGYN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE GONZALEZ (MANAGER)
(813) 876-6000
Entity
Organization
Contact information
Practice address
2727 W DR MLK BLVD STE 630, TAMPA, FL 33607-6399
(813) 876-6000
(813) 872-7459
Mailing address
2727 W DR MLK BLVD STE 630, TAMPA, FL 33607-6399
(813) 876-6000
(813) 872-7459
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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