RORTANA OUM

TAMPA, FL
NPI1497055685
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: FL  AA68)
Enumeration Date2010-10-22
Last Update Date2010-10-22
Business Address
Mr. RORTANA OUM AAC
3100 E FLETCHER AVE
TAMPA, FL 33613-4613
Phone number: 813-615-7848
Mailing Address
Mr. RORTANA OUM AAC
13560 CYPRESS GLEN LN UNIT 201
TAMPA, FL 33637-1116
Phone number: 913-661-4676