Individual
HIND KETTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 MEDICAL PARK DR STE 510, TAMPA, FL 33613-6602
(813) 615-7725
(813) 615-7082
Mailing address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(786) 868-0012
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
ME137027
FL
2084N0400X
Neurology Physician
Primary
ME137027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101429400
—
FL
01
—
ME137027
ME LICENSE
FL
Enumeration date
06/29/2009
Last updated
03/18/2024
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