Individual
DR. JOSE R FORADADA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4710 N HABANA AVENUE, STE 307, TAMPA, FL 33614
(813) 874-2000
(813) 875-9303
Mailing address
4710 N HABANA AVENUE, STE 307, TAMPA, FL 33614
(813) 874-2000
(813) 875-9303
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME56885
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME0056885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06249000
—
FL
05
—
273113400
—
FL
Enumeration date
08/25/2006
Last updated
07/18/2018
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