Tampa Bay Endocrinology Pa | |
5301 N Habana Ave Suite 1 Tampa FL 33614-6890 | |
(813) 876-3636 | |
(813) 870-0077 |
Full Name | Tampa Bay Endocrinology Pa |
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Speciality | Internal Medicine |
Location | 5301 N Habana Ave, Tampa, Florida |
Authorized Official Name and Position | Pedro I Troya (OWNER) |
Authorized Official Contact | 8138763636 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tampa Bay Endocrinology Pa 5301 N Habana Ave Suite 1 Tampa FL 33614-6890 Ph: (813) 876-3636 | Tampa Bay Endocrinology Pa 5301 N Habana Ave Suite 1 Tampa FL 33614-6890 Ph: (813) 876-3636 |
NPI Number | 1306278874 |
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Provider Enumeration Date | 08/06/2013 |
Last Update Date | 08/06/2013 |
Medicare PECOS PAC ID | 5991949588 |
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Medicare Enrollment ID | O20130923000034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306278874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Florida) | Primary |
Provider Name | Pedro I Troya |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1427187319 PECOS PAC ID: 3375689052 Enrollment ID: I20091009000523 |
Provider Name | Lauren M Sosdorf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083031082 PECOS PAC ID: 3971722596 Enrollment ID: I20140915000600 |
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