Organization
TRIPLE - I - CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANOS VASILOUDES MD (PRESIDENT)
(813) 882-9986
Entity
Organization
Contact information
Practice address
5535 MEMORIAL HWY, TAMPA, FL 33634-7370
(813) 374-9172
(813) 374-9174
Mailing address
5210 WEBB RD, TAMPA, FL 33615-4518
(813) 882-9986
(813) 884-5616
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
02/17/2010
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