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1740207547
WILFRED GRAY IDSTEN
TAMPA, FL
NPI
1740207547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME46450)
Enumeration Date
2006-07-16
Last Update Date
2008-02-21
Business Address
-- WILFRED GRAY IDSTEN MD
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6307
Phone number: 813-870-4000
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Mailing Address
-- WILFRED GRAY IDSTEN MD
PO BOX 550643
TAMPA, FL 33655-0643
Phone number:
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