| Joey S Ancheta Llc | |
|
17822 Arbor Greene Dr Tampa FL 33647-3136 | |
| (813) 767-0283 | |
| Not Available |
| Full Name | Joey S Ancheta Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17822 Arbor Greene Dr, Tampa, Florida |
| Authorized Official Name and Position | Joey S Ancheta (OWNER) |
| Authorized Official Contact | 8137670283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joey S Ancheta Llc 17822 Arbor Greene Dr Tampa FL 33647-3136 Ph: (813) 767-0283 | Joey S Ancheta Llc 17822 Arbor Greene Dr Tampa FL 33647-3136 Ph: (813) 767-0283 |
| NPI Number | 1619375045 |
|---|---|
| Provider Enumeration Date | 12/17/2014 |
| Last Update Date | 12/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619375045 | NPI | - | NPPES |
| 1841235926 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME72598 (Florida) | Primary |
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