| Oakstead Primary Care, Inc. | |
|
12855 Darby Ridge Dr Tampa FL 33624-4304 | |
| (813) 968-9695 | |
| (813) 264-0342 |
| Full Name | Oakstead Primary Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12855 Darby Ridge Dr, Tampa, Florida |
| Authorized Official Name and Position | Manjari Ilesh Patel (PRESIDENT) |
| Authorized Official Contact | 8139689695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakstead Primary Care, Inc. 12855 Darby Ridge Dr Tampa FL 33624-4304 Ph: (813) 968-9695 | Oakstead Primary Care, Inc. 12855 Darby Ridge Dr Tampa FL 33624-4304 Ph: (813) 968-9695 |
| NPI Number | 1447201736 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 01/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447201736 | NPI | - | NPPES |
| 274304300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME90171 (Florida) | Primary |
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