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1730175944
SAM DIASTI
TAMPA, FL
NPI
1730175944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME71925)
Enumeration Date
2005-09-22
Last Update Date
2020-12-02
Business Address
SAM DIASTI MD
2605 W SWANN AVE STE. 100
TAMPA, FL 33609-4039
Phone number: 713-874-5500
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Mailing Address
SAM DIASTI MD
2605 W SWANN AVE STE. 100
TAMPA, FL 33609-4039
Phone number: 813-874-5500
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