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10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 | |
(813) 574-2460 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 10311 Cross Creek Blvd Ste E, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376889519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH8562 (Florida) | Secondary |
207Q00000X | Family Medicine | ME115880 (Florida) | Primary |
225100000X | Physical Therapist | PT20198 (Florida) | Secondary |
Provider Name | Heather Allred |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639408149 PECOS PAC ID: 6608763867 Enrollment ID: I20040302000845 |
Provider Name | Timothy F Bain |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538388566 PECOS PAC ID: 7315926862 Enrollment ID: I20040719000688 |
Provider Name | Lindsay J Taylor |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336308931 PECOS PAC ID: 4587724737 Enrollment ID: I20081118000899 |
Provider Name | Nils Semjonovs |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053083790 PECOS PAC ID: 9234529884 Enrollment ID: I20211214001547 |
Mailing Address | Practice Location Address |
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10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 Ph: (813) 574-2460 | 10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 Ph: (813) 574-2460 |