ADVANCE TAMPA BAY FOOT MEDICAL, LLC

TAMPA, FL
NPI1821340225
Entity TypeOrganization
Authorized ContactBENJAMIN Q LE
Authorize Officer
813-831-3813
Organization Subpart ?No
Primary Taxonomy213ES0131X 
(Licence: FL  PO2234)
Enumeration Date2012-10-09
Last Update Date2017-05-11
Business Address
ADVANCE TAMPA BAY FOOT MEDICAL, LLC
3325 W GANDY BLVD
TAMPA, FL 33611-2931
Phone number: 813-831-3813
Mailing Address
ADVANCE TAMPA BAY FOOT MEDICAL, LLC
PO BOX 13485
TAMPA, FL 33681-3485
Phone number: 813-831-3813
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