Arizona Ls, LLC

NPI #1144673229 in Tampa, Florida

Provider Information

NPI Number: 1144673229
Entity Type: Organization
Organization Name: Arizona Ls, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 13, 2016
Last Updated: Jul 13, 2016

Practice Location

Address: 509 S HYDE PARK AVE
City: Tampa
State: Florida
ZIP Code: 33606-2266
Phone: (813) 228-6334

Authorized Official

Name: WENDIE NONCLERC
Title: DIRECTOR OF INSURANCE DEVELOPMENT
Phone: (813) 228-6334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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