Margaret Theodore, M.d., P.a. | |
5420 Webb Rd Suite B-1 Tampa FL 33615-3250 | |
(813) 886-0548 | |
(813) 886-0890 |
Full Name | Margaret Theodore, M.d., P.a. |
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Speciality | Clinic/Center |
Location | 5420 Webb Rd, Tampa, Florida |
Authorized Official Name and Position | Margaret Theodore (PRESIDENT) |
Authorized Official Contact | 8138860548 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Margaret Theodore, M.d., P.a. 5420 Webb Rd Suite B-1 Tampa FL 33615-3250 Ph: (813) 886-0548 | Margaret Theodore, M.d., P.a. 5420 Webb Rd Suite B-1 Tampa FL 33615-3250 Ph: (813) 886-0548 |
NPI Number | 1366742041 |
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Provider Enumeration Date | 10/27/2010 |
Last Update Date | 10/27/2010 |
Medicare PECOS PAC ID | 8224222740 |
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Medicare Enrollment ID | O20101028001276 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366742041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME 31671 (Florida) | Primary |
Provider Name | Margaret Theodore |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891732640 PECOS PAC ID: 9739373267 Enrollment ID: I20101028001350 |
Provider Name | Sriprintha Navarathinarajah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003802554 PECOS PAC ID: 7113961137 Enrollment ID: I20110803000292 |
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