| Tbim Hospitalists Llc | |
|
4600 N Habana Ave Suite 27 Tampa FL 33614-7166 | |
| (813) 681-0340 | |
| (813) 961-2565 |
| Full Name | Tbim Hospitalists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4600 N Habana Ave, Tampa, Florida |
| Authorized Official Name and Position | Rafael S Rodriguez (OWNER) |
| Authorized Official Contact | 8136810340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tbim Hospitalists Llc Po Box 271489 Tampa FL 33688-1489 Ph: (813) 890-8004 | Tbim Hospitalists Llc 4600 N Habana Ave Suite 27 Tampa FL 33614-7166 Ph: (813) 681-0340 |
| NPI Number | 1023129087 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/04/2011 |
| Medicare PECOS PAC ID | 4880604602 |
|---|---|
| Medicare Enrollment ID | O20060425000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023129087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rafael S Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720059868 PECOS PAC ID: 5799752556 Enrollment ID: I20040913000516 |
| Provider Name | Anibal Cuevas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881660587 PECOS PAC ID: 2860442209 Enrollment ID: I20050125000158 |
| Provider Name | Gustavo Barrazueta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831148444 PECOS PAC ID: 6305946146 Enrollment ID: I20070710000415 |
| Provider Name | Lawrence J Kantrowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972548857 PECOS PAC ID: 1951491505 Enrollment ID: I20071219000514 |
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