Organization
DYNAMIC PHYSIOMENTAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY ANCHETA MD (PRESIDENT)
(813) 767-0283
Entity
Organization
Contact information
Practice address
6826 W LINEBAUGH AVE, TAMPA, FL 33625-4951
(813) 767-0283
Mailing address
6826 W LINEBAUGH AVE, TAMPA, FL 33625-4951
(813) 767-0283
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
01/27/2022
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