OTHER PRACTICE

TAMPA, FL
NPI1851741763
Entity TypeOrganization
Authorized ContactCECILIA A WILLIAMS
A RN P
772-285-7449
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2016-06-21
Last Update Date2016-07-28
Business Address
OTHER PRACTICE
714 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33603-3104
Phone number: 772-285-7449
Mailing Address
OTHER PRACTICE
714 WEST DR MLK JR BLVD
TAMPA, FL 33603
Phone number:
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