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1215969548
YAKUB AHMED POTHIAWALA
TAMPA, FL
NPI
1215969548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME 0070225)
Enumeration Date
2006-07-07
Last Update Date
2011-12-14
Business Address
Mr. YAKUB AHMED POTHIAWALA MD
3865 NORTHDALE BLVD
TAMPA, FL 33624
Phone number: 813-960-4401
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Mailing Address
Mr. YAKUB AHMED POTHIAWALA MD
3865 NORTHDALE BLVD
TAMPA, FL 33624
Phone number: 813-960-4401
Copy
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