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1194836239
CHILDRENS UROLOGY GROUP PL
TAMPA, FL
NPI
1194836239
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Entity Type
Organization
Authorized Contact
THERESA KOLLNER
Credentialing Coordinator
813-874-7500
Organization Subpart ?
No
Primary Taxonomy
2088P0231X
Enumeration Date
2006-08-31
Last Update Date
2015-07-08
Business Address
CHILDRENS UROLOGY GROUP PL
4712 N ARMENIA AVE SUITE 200
TAMPA, FL 33603-2611
Phone number: 813-874-7500
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Mailing Address
CHILDRENS UROLOGY GROUP PL
4712 N ARMENIA AVE SUITE 200
TAMPA, FL 33603-2611
Phone number: 813-874-7500
Copy
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