Individual
MASON COLE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 S BOULEVARD, TAMPA, FL 33606-2629
(813) 995-1775
(813) 642-4877
Mailing address
603 S BOULEVARD, TAMPA, FL 33606-2629
(813) 995-1775
(813) 642-4877
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
161537
FL
Other
Enumeration date
03/27/2019
Last updated
06/20/2023
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