| Internal Medicine Associates Of North Tampa Pa | |
|
3661 Madaca Ln Tampa FL 33618-2048 | |
| (813) 968-7830 | |
| (813) 265-9697 |
| Full Name | Internal Medicine Associates Of North Tampa Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3661 Madaca Ln, Tampa, Florida |
| Authorized Official Name and Position | Bruce A Kahan (OWNER) |
| Authorized Official Contact | 8139687830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of North Tampa Pa 3661 Madaca Ln Tampa FL 33618-2048 Ph: (813) 968-7830 | Internal Medicine Associates Of North Tampa Pa 3661 Madaca Ln Tampa FL 33618-2048 Ph: (813) 968-7830 |
| NPI Number | 1497717623 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 09/22/2009 |
| Medicare PECOS PAC ID | 1153487830 |
|---|---|
| Medicare Enrollment ID | O20090304000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497717623 | NPI | - | NPPES |
| 068100 | Other | AETNA | |
| 45144 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce A Kahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447211156 PECOS PAC ID: 6406912187 Enrollment ID: I20090304000595 |
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