Gregory Mcfadden Mdpa | |
2901 W Saint Isabel St Suite #a3 Tampa FL 33607-6371 | |
(813) 874-2642 | |
Not Available |
Full Name | Gregory Mcfadden Mdpa |
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Speciality | Internal Medicine |
Location | 2901 W Saint Isabel St, Tampa, Florida |
Authorized Official Name and Position | Gregory Mcfadden (OWNER) |
Authorized Official Contact | 8137676322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gregory Mcfadden Mdpa 4308 Ellenville Pl Valrico FL 33594-7147 Ph: () - | Gregory Mcfadden Mdpa 2901 W Saint Isabel St Suite #a3 Tampa FL 33607-6371 Ph: (813) 874-2642 |
NPI Number | 1407990450 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 01/15/2008 |
Identifier | Type | State | Issuer |
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1407990450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME47498 (Florida) | Primary |
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