Gil Emmanuel A Mejia Md Pa | |
4102 W Linebaugh Ave Ste 100 Tampa FL 33624-5296 | |
(813) 960-3436 | |
(813) 960-3735 |
Full Name | Gil Emmanuel A Mejia Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 4102 W Linebaugh Ave, Tampa, Florida |
Authorized Official Name and Position | Vina Mejia Beech (HEALTH SERVICE MANAGER) |
Authorized Official Contact | 8139603436 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gil Emmanuel A Mejia Md Pa 4102 W Linebaugh Ave Ste 100 Tampa FL 33624-5296 Ph: (813) 960-3436 | Gil Emmanuel A Mejia Md Pa 4102 W Linebaugh Ave Ste 100 Tampa FL 33624-5296 Ph: (813) 960-3436 |
NPI Number | 1073710653 |
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Provider Enumeration Date | 06/28/2007 |
Last Update Date | 11/20/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073710653 | NPI | - | NPPES |
2244015 | Other | FL | AETNA |
369744 | Other | FL | WELLCARE |
AD169 | Other | FL | PTAN |
255428 | Other | FL | AVMED |
44247 | Other | FL | BCBS |
256054200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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N/a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3225 S Macdill Ave Ste 129-313, Tampa, FL 33629 Phone: 813-200-8857 Fax: 813-200-1319 |