Koyo Medical P A | |
19909 Tamiami Ave Tampa FL 33647-3366 | |
(813) 468-1899 | |
(813) 428-5657 |
Full Name | Koyo Medical P A |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 19909 Tamiami Ave, Tampa, Florida |
Authorized Official Name and Position | Edet Ating Elensi (PRESIDENT) |
Authorized Official Contact | 8134681899 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Koyo Medical P A 19909 Tamiami Ave Tampa FL 33647-3366 Ph: () - | Koyo Medical P A 19909 Tamiami Ave Tampa FL 33647-3366 Ph: (813) 468-1899 |
NPI Number | 1679821474 |
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Provider Enumeration Date | 08/27/2012 |
Last Update Date | 10/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679821474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | ME90895 (Florida) | Primary |
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