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1144273343
JOHN J FAVATA JR
TAMPA, FL
NPI
1144273343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME20637)
Enumeration Date
2006-05-18
Last Update Date
2007-11-01
Business Address
Dr. JOHN J FAVATA JR MD
3100 E FLETCHER AVE
TAMPA, FL 33613-4613
Phone number: 813-971-6000
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Mailing Address
Dr. JOHN J FAVATA JR MD
12479 TELECOM DR
TAMPA, FL 33637-0913
Phone number: 813-972-4199
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