| NPI | 1952664435 |
|---|---|
| Former Legal Business Name | TAMPA MEDICAL GROUP PA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLAUDE BURNETTE President 813-879-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: FL ME47924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME47924) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |