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Organization

BREATHEWELL PULMONARY CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMIE ZAMORA (CREDENTIALING)
(888) 556-2742
Entity
Organization

Contact information

Practice address
3450 E FLETCHER AVE STE 260, TAMPA, FL 33613-4697
(813) 419-3108
(813) 482-0542
Mailing address
9628 CHARLESBERG DR, TAMPA, FL 33635-1638
(813) 419-3108
(813) 482-0542

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
08/19/2024
Last updated
10/18/2024
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