| Palmas Clinic | |
|
7756 Palm River Rd Tampa FL 33619-4215 | |
| (813) 626-0066 | |
| (866) 441-4463 |
| Full Name | Palmas Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 7756 Palm River Rd, Tampa, Florida |
| Authorized Official Name and Position | Theophilus Sai (PRESIDENT) |
| Authorized Official Contact | 8136009981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmas Clinic 3218 W Horatio St Tampa FL 33609-3028 Ph: (813) 600-9981 | Palmas Clinic 7756 Palm River Rd Tampa FL 33619-4215 Ph: (813) 626-0066 |
| NPI Number | 1881031425 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 1153560263 |
|---|---|
| Medicare Enrollment ID | O20130621000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881031425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 101036 (Florida) | Primary |
| Provider Name | Theophilus Torgbor Sai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407874357 PECOS PAC ID: 0042279341 Enrollment ID: I20081208000368 |
| Provider Name | Vianka Legra Delgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407044480 PECOS PAC ID: 9133208895 Enrollment ID: I20090204000352 |
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