Premier Internal Medicine of Tampa LLC

NPI #1619460730 in Lutz, Florida

Provider Information

NPI Number: 1619460730
Entity Type: Organization
Organization Name: Premier Internal Medicine of Tampa LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 13, 2018
Last Updated: Jun 13, 2018

Practice Location

Address: 4913 VAN DYKE RD
City: Lutz
State: Florida
ZIP Code: 33558-4813
Phone: (813) 930-7877

Authorized Official

Name: JANUSZ MADEJ, MD
Title: OWNER
Phone: (813) 930-7877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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