| |
11321 Countryway Blvd Tampa FL 33626-2610 | |
(813) 814-4204 | |
(813) 814-4219 |
Full Name | |
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Speciality | Internal Medicine |
Location | 11321 Countryway Blvd, Tampa, Florida |
Authorized Official Name and Position | Alex Zelenka (PRESIDENT) |
Authorized Official Contact | 7276416840 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11321 Countryway Blvd Tampa FL 33626-2610 Ph: (813) 814-4204 | 11321 Countryway Blvd Tampa FL 33626-2610 Ph: (813) 814-4204 |
NPI Number | 1932378882 |
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Provider Enumeration Date | 02/25/2008 |
Last Update Date | 10/20/2008 |
Medicare PECOS PAC ID | 3375607468 |
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Medicare Enrollment ID | O20090204000657 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932378882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME88286 (Florida) | Primary |
Provider Name | Alexandra P Zelenka |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023297199 PECOS PAC ID: 5294899381 Enrollment ID: I20090204000651 |
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