Individual
THEOPHILOS PATELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, MEDICAL SERVICE (111), TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, MEDICAL SERVICE (111), TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME100231
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN8810
FL
Other
Enumeration date
09/11/2007
Last updated
07/05/2011
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