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1881253300
TRACY KODIYAN
TAMPA, FL
NPI
1881253300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME158039)
Enumeration Date
2019-06-08
Last Update Date
2022-09-01
Business Address
Dr. TRACY KODIYAN M.D.
5919 WEBB RD
TAMPA, FL 33615-3219
Phone number: 813-290-0422
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Mailing Address
Dr. TRACY KODIYAN M.D.
602 SHELLCRACKER CT
TAMPA, FL 33613-1214
Phone number:
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