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1790719961
RAUL F NODAL MDPA
TAMPA, FL
NPI
1790719961
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Entity Type
Organization
Authorized Contact
RAUL F NODAL
President
813-960-2142
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: FL ME82531)
Enumeration Date
2006-07-11
Last Update Date
2020-08-22
Business Address
RAUL F NODAL MDPA
5012 GUNN HWY.
TAMPA, FL 33624
Phone number: 813-960-2142
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Mailing Address
RAUL F NODAL MDPA
11803 NICKLAUS CIR
TAMPA, FL 33624-4539
Phone number: 813-368-2160
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