Organization
SITA DUGGIRALA MD PA
Active
Other names
Waters Pediatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
SITA LAKSHMI DUGGIRALA M.D. (OWNER)
(813) 887-1010
Entity
Organization
Contact information
Practice address
7730 W WATERS AVE, TAMPA, FL 33615-1813
(813) 887-1010
(813) 887-1021
Mailing address
7730 W WATERS AVE, TAMPA, FL 33615-1813
(813) 887-1010
(813) 887-1021
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME96395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11638012
CAQH
FL
05
—
276288900
—
FL
Enumeration date
04/16/2013
Last updated
04/16/2013
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