Organization
KEVIN J MAKATI MD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J MAKATI MD (MANAGING MEMBER)
(813) 418-0100
Entity
Organization
Contact information
Practice address
4211 VAN DYKE RD, SECOND FLOOR EAST, SUITE 205, LUTZ, FL 33558-8002
(813) 418-0100
(813) 902-6950
Mailing address
PO BOX 18036, TAMPA, FL 33679-8036
(813) 418-0100
(813) 902-6950
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME101255
FL
Other
Enumeration date
09/21/2009
Last updated
03/03/2010
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