Southeastern Primary Care Assoc, Llc | |
6101 Webb Rd Ste 203 Tampa FL 33615-2865 | |
(813) 269-6426 | |
(813) 342-5261 |
Full Name | Southeastern Primary Care Assoc, Llc |
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Speciality | Internal Medicine |
Location | 6101 Webb Rd Ste 203, Tampa, Florida |
Authorized Official Name and Position | Paul M Pulcini (MEDICAL DIRECTOR, CEO) |
Authorized Official Contact | 8132696426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southeastern Primary Care Assoc, Llc 6101 Webb Rd Ste 203 Tampa FL 33615-2865 Ph: (813) 269-6426 | Southeastern Primary Care Assoc, Llc 6101 Webb Rd Ste 203 Tampa FL 33615-2865 Ph: (813) 269-6426 |
NPI Number | 1558843078 |
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Provider Enumeration Date | 08/31/2018 |
Last Update Date | 10/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558843078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME83175 (Florida) | Primary |
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