Unknown Individual – Primary Care Clinic/Center, NPI 1508917485
Primary Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North Dale Mabry Highway, Egypt Lake-Leto, Hillsborough County, Florida, 33618, United States
BLDG 701
TAMPA, FL 33614
Phone: (813) 304-2330
Fax: (813) 304-2345
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33614)
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