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1861225054
DERK ESTES SEABOLD
TAMPA, FL
NPI
1861225054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
DERK ESTES SEABOLD
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4456
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Mailing Address
DERK ESTES SEABOLD
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number:
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