Organization
FAD TAMPA LLC
Active
Other names
Progressive Physicians Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN RAMABADRAN (CEO)
(813) 379-3084
Entity
Organization
Contact information
Practice address
2664 CYPRESS RIDGE BLVD, SUITE 102B, WESLEY CHAPEL, FL 33544-6325
(813) 262-2102
(813) 737-0096
Mailing address
2664 CYPRESS RIDGE BLVD, SUITE 102B, WESLEY CHAPEL, FL 33544-6325
(813) 262-2102
(813) 737-0096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
10/31/2016
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