| Henry A Odukomaiya Md Pa | |
|
3228 Cove Bend Dr Tampa FL 33613-2752 | |
| (813) 971-5800 | |
| Not Available |
| Full Name | Henry A Odukomaiya Md Pa |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 3228 Cove Bend Dr, Tampa, Florida |
| Authorized Official Name and Position | Henry A Odukomaiya (OWNER) |
| Authorized Official Contact | 8139715800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry A Odukomaiya Md Pa 3228 Cove Bend Dr Tampa FL 33613-2752 Ph: (813) 971-5800 | Henry A Odukomaiya Md Pa 3228 Cove Bend Dr Tampa FL 33613-2752 Ph: (813) 971-5800 |
| NPI Number | 1386880318 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 12/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386880318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME68789 (Florida) | Primary |
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