JOSE R. FORADADA, III, MD, P.A.

TAMPA, FL
NPI1164766002
Entity TypeOrganization
Authorized ContactJOSE RAMON FORADADA
President
813-874-2000
Organization Subpart ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: FL  ME0056885)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL  ARNP3390982)
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL  ARNP9263175)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
JOSE R. FORADADA, III, MD, P.A.
4710 N. HABANA AVE. SUITE 307
TAMPA, FL 33614-7151
Phone number: 813-874-2000
Mailing Address
JOSE R. FORADADA, III, MD, P.A.
4710 N. HABANA AVE. SUITE 307
TAMPA, FL 33614-7151
Phone number: 813-874-2000
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