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Organization

TAMPA OBSTETRICS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA S. MAYO (DIRECTOR OF OPERATIONS)
(813) 654-2273
Entity
Organization

Contact information

Practice address
215 IMPERIAL BLVD, SUITE B2, LAKELAND, FL 33803-4689
(813) 654-2273
(813) 654-1384
Mailing address
505 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 654-2273
(813) 654-1384

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051857300
FL
Enumeration date
05/19/2008
Last updated
09/25/2014
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