Vijay Diwadkar,m.d.pa | |
701 W M.l.king Jr. Blvd. Suite 3 Tampa FL 33603-3100 | |
(813) 237-2500 | |
(813) 237-2871 |
Full Name | Vijay Diwadkar,m.d.pa |
---|---|
Speciality | Family Medicine - Adult Medicine |
Location | 701 W M.l.king Jr. Blvd., Tampa, Florida |
Authorized Official Name and Position | Vijay Diwadkar (MEDICAL DIRECTOR) |
Authorized Official Contact | 8132372500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vijay Diwadkar,m.d.pa 701 W M.l.king Blvd Suite 3 Tampa FL 33603-1922 Ph: (813) 237-2500 | Vijay Diwadkar,m.d.pa 701 W M.l.king Jr. Blvd. Suite 3 Tampa FL 33603-3100 Ph: (813) 237-2500 |
NPI Number | 1659672236 |
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Provider Enumeration Date | 11/12/2010 |
Last Update Date | 12/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659672236 | NPI | - | NPPES |
30476 | Other | FL | BCBS |
066699800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | ME39294 (Florida) | Primary |
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