| |
13309 Winding Oak Ct, Suite B, Tampa, FL 33612-3431 | |
(813) 514-4885 | |
(814) 514-4887 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 13309 Winding Oak Ct, Tampa, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942530076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AP2707 (Florida) | Secondary |
208D00000X | General Practice | OS10216 (Florida) | Primary |
Mailing Address | Practice Location Address |
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13309 Winding Oak Ct, Suite B, Tampa, FL 33612-3431 Ph: (813) 514-4885 | 13309 Winding Oak Ct, Suite B, Tampa, FL 33612-3431 Ph: (813) 514-4885 |