| Doctor Doctor On-call | |
|
2314 E 22nd Ave Tampa FL 33605-2067 | |
| (813) 597-1758 | |
| (813) 706-6612 |
| Full Name | Doctor Doctor On-call |
|---|---|
| Speciality | Internal Medicine |
| Location | 2314 E 22nd Ave, Tampa, Florida |
| Authorized Official Name and Position | Henria M Fain (OWNER) |
| Authorized Official Contact | 8137434383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Doctor On-call Po Box 75496 Tampa FL 33675-0496 Ph: (813) 597-1758 | Doctor Doctor On-call 2314 E 22nd Ave Tampa FL 33605-2067 Ph: (813) 597-1758 |
| NPI Number | 1265248579 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265248579 | NPI | - | NPPES |
| 121064700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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