MIA ELISA BRANCH

TAMPA, FL
NPI1629008388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: FL  ME87804)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: PA  MD418731)
208M00000X Hospitalist
(Licence: FL  ME87804)
Enumeration Date2006-07-05
Last Update Date2021-05-26
Business Address
MIA ELISA BRANCH MD
5002 W LEMON ST
TAMPA, FL 33609
Phone number: 813-286-0033
Mailing Address
MIA ELISA BRANCH MD
PO BOX 25317
TAMPA, FL 33622-5317
Phone number: 813-286-0033