Westchase Gastroenterology P A | |
11912 Sheldon Rd Ste B Tampa FL 33626-3643 | |
(813) 920-8882 | |
(813) 920-8883 |
Full Name | Westchase Gastroenterology P A |
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Speciality | Internal Medicine - Gastroenterology |
Location | 11912 Sheldon Rd Ste B, Tampa, Florida |
Authorized Official Name and Position | John Chang (OWNER) |
Authorized Official Contact | 8139208882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Westchase Gastroenterology P A 11912 Sheldon Rd Ste B Tampa FL 33626-3643 Ph: (813) 920-8882 | Westchase Gastroenterology P A 11912 Sheldon Rd Ste B Tampa FL 33626-3643 Ph: (813) 920-8882 |
NPI Number | 1356540785 |
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Provider Enumeration Date | 07/16/2007 |
Last Update Date | 12/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356540785 | NPI | - | NPPES |
ME66502 | Other | FL | STATE LIC NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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