| Medical Associates Of Tampa Bay, Llc | |
|
6150 N Us Highway 41 Apollo Beach FL 33572-1806 | |
| (813) 641-0007 | |
| Not Available |
| Full Name | Medical Associates Of Tampa Bay, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6150 N Us Highway 41, Apollo Beach, Florida |
| Authorized Official Name and Position | Sasha Noe (OWNER) |
| Authorized Official Contact | 8136410007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Tampa Bay, Llc 6150 N Us Highway 41 Apollo Beach FL 33572-1806 Ph: () - | Medical Associates Of Tampa Bay, Llc 6150 N Us Highway 41 Apollo Beach FL 33572-1806 Ph: (813) 641-0007 |
| NPI Number | 1811259237 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 06/12/2012 |
| Medicare PECOS PAC ID | 2860657541 |
|---|---|
| Medicare Enrollment ID | O20120702000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811259237 | NPI | - | NPPES |
| 1639308992 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS11031 (Florida) | Primary |
| Provider Name | Sasha N Noe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639308992 PECOS PAC ID: 3870758550 Enrollment ID: I20120702000294 |
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