| Covenant Medical Clinic | |
|
2812 W Dr Martin Luther King Jr Blvd Suite 2 Tampa FL 33607-6306 | |
| (813) 874-0850 | |
| (813) 874-0590 |
| Full Name | Covenant Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 2812 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
| Authorized Official Name and Position | Mobolanle Fadare (OWNER) |
| Authorized Official Contact | 8138740850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Medical Clinic 2812 W Dr Martin Luther King Jr Blvd Suite 2 Tampa FL 33607-6306 Ph: (813) 874-0850 | Covenant Medical Clinic 2812 W Dr Martin Luther King Jr Blvd Suite 2 Tampa FL 33607-6306 Ph: (813) 874-0850 |
| NPI Number | 1528380748 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528380748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 126336 (Florida) | Primary |
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