WILFRED GRAY IDSTEN

TAMPA, FL
NPI1740207547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  ME46450)
Enumeration Date2006-07-16
Last Update Date2008-02-21
Business Address
-- WILFRED GRAY IDSTEN MD
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6307
Phone number: 813-870-4000
Mailing Address
-- WILFRED GRAY IDSTEN MD
PO BOX 550643
TAMPA, FL 33655-0643
Phone number: