Martha A Price Md Pa | |
3211 W Azeele St Tampa FL 33609-3017 | |
(813) 879-3334 | |
(813) 353-1945 |
Full Name | Martha A Price Md Pa |
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Speciality | Family Medicine |
Location | 3211 W Azeele St, Tampa, Florida |
Authorized Official Name and Position | Martha Ann Price (PRESIDENT/OWNER) |
Authorized Official Contact | 8138793334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Martha A Price Md Pa 3211 W Azeele St Tampa FL 33609-3017 Ph: (813) 879-3334 | Martha A Price Md Pa 3211 W Azeele St Tampa FL 33609-3017 Ph: (813) 879-3334 |
NPI Number | 1457674186 |
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Provider Enumeration Date | 03/09/2010 |
Last Update Date | 05/04/2010 |
Medicare PECOS PAC ID | 1557498862 |
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Medicare Enrollment ID | O20100419000342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457674186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Martha Price |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326029141 PECOS PAC ID: 2567591845 Enrollment ID: I20100525000464 |
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