United States Coast Guard | |
7520 Transom Ct Tampa FL 33607-5863 | |
(727) 535-1437 | |
(727) 535-4190 |
Full Name | United States Coast Guard |
---|---|
Speciality | Clinic/center |
Location | 7520 Transom Ct, Tampa, Florida |
Authorized Official Name and Position | Todd Christopher Wilson (HEALTH SERVICE PETTY OFFICER) |
Authorized Official Contact | 7275351437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
United States Coast Guard 15100 Rescue Way Clearwater FL 33762-2990 Ph: (727) 535-1437 | United States Coast Guard 7520 Transom Ct Tampa FL 33607-5863 Ph: (727) 535-1437 |
NPI Number | 1588709695 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588709695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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