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1578509089
MALCOLM ROOT
TAMPA, FL
NPI
1578509089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: FL ME 60118)
Enumeration Date
2006-06-22
Last Update Date
2017-01-20
Business Address
Mr. MALCOLM ROOT MD
1209 W SWANN AVE
TAMPA, FL 33606-2639
Phone number: 813-253-3007
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Mailing Address
Mr. MALCOLM ROOT MD
5523 W CYPRESS ST STE 202
TAMPA, FL 33607-1735
Phone number: 813-356-0196
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