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1093135220
KADIR JUSTIN CARRUTHERS
TAMPA, FL
NPI
1093135220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL 136718)
Enumeration Date
2014-04-28
Last Update Date
2018-11-07
Business Address
Dr. KADIR JUSTIN CARRUTHERS M.D.
2914 N BOULEVARD
TAMPA, FL 33602
Phone number: 813-228-7696
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Mailing Address
Dr. KADIR JUSTIN CARRUTHERS M.D.
2914 N BOULEVARD
TAMPA, FL 33602-1208
Phone number: 813-228-7696
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