RAUL F NODAL MDPA

TAMPA, FL
NPI1790719961
Entity TypeOrganization
Authorized ContactRAUL F NODAL
President
813-960-2142
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: FL  ME82531)
Enumeration Date2006-07-11
Last Update Date2020-08-22
Business Address
RAUL F NODAL MDPA
5012 GUNN HWY.
TAMPA, FL 33624
Phone number: 813-960-2142
Mailing Address
RAUL F NODAL MDPA
11803 NICKLAUS CIR
TAMPA, FL 33624-4539
Phone number: 813-368-2160