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Individual

ANITA MAGOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME97316
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002896600
FL
01
29312
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/07/2005
Last updated
12/14/2020
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