East Bay Family Practice Llc | |
3387 3391 Easy Bay Drive Largo FL 33771 | |
(727) 412-8209 | |
(727) 412-8207 |
Full Name | East Bay Family Practice Llc |
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Speciality | Family Medicine |
Location | 3387 3391 Easy Bay Drive, Largo, Florida |
Authorized Official Name and Position | Rohit Kumar Suri (PRESIDENT) |
Authorized Official Contact | 7274128209 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Bay Family Practice Llc 3387 3391 Easy Bay Drive Largo FL 33771 Ph: (727) 412-8209 | East Bay Family Practice Llc 3387 3391 Easy Bay Drive Largo FL 33771 Ph: (727) 412-8209 |
NPI Number | 1063665867 |
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Provider Enumeration Date | 10/24/2008 |
Last Update Date | 10/24/2008 |
Identifier | Type | State | Issuer |
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1063665867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME85329 (Florida) | Primary |
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