BEN HENRY NILLES BAANG

TAMPA, FL
NPI1598505216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  TRN39963)
Enumeration Date2024-05-30
Last Update Date2024-05-30
Business Address
BEN HENRY NILLES BAANG MD
13601 BRUCE B DOWNS BLVD BLDG SUITE160
TAMPA, FL 33613-4657
Phone number: 863-971-6000
Mailing Address
BEN HENRY NILLES BAANG MD
3100 E FLETCHER AVE
TAMPA, FL 33613-4613
Phone number: 863-971-6000
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