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1962686931
NEW TAMPA MEDICAL CLINIC LLC
TAMPA, FL
NPI
1962686931
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Entity Type
Organization
Authorized Contact
SUVARNA NOMULA
CEO
813-994-9995
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME85978)
Enumeration Date
2007-12-26
Last Update Date
2013-04-19
Business Address
NEW TAMPA MEDICAL CLINIC LLC
20431 BRUCE B DOWNS BLVD
TAMPA, FL 33647-2759
Phone number: 813-994-9995
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Mailing Address
NEW TAMPA MEDICAL CLINIC LLC
20431 BRUCE B DOWNS BLVD
TAMPA, FL 33647-2759
Phone number: 813-994-9995
Copy
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