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Individual

DR. LIONEL Q. TRIDAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
508 S HABANA AVE STE 340, TAMPA, FL 33609
(818) 876-8316
(813) 875-4011
Mailing address
2995 DREW ST BLDG 2ND, CLEARWATER, FL 33759-3012
(727) 532-0002
(727) 266-4943

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
ME41062
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067237800
FL
Enumeration date
11/01/2006
Last updated
08/27/2018
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