Organization
INFINITY MEDICAL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORIAH MOFFITT MD (MEDICAL DIRECTOR)
(813) 871-2929
Entity
Organization
Contact information
Practice address
1715 N WEST SHORE BLVD, SUITE 100, TAMPA, FL 33607-3925
(813) 871-2929
Mailing address
1715 N WEST SHORE BLVD, SUITE 100, TAMPA, FL 33607-3925
(813) 871-2929
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
606402
FL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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