Florida Medical Practice

NPI #1811216286 in Tampa, Florida

Provider Information

NPI Number: 1811216286
Entity Type: Organization
Organization Name: Florida Medical Practice
Primary Specialty: Pediatrics
Enumeration Date: May 25, 2010
Last Updated: May 25, 2010

Practice Location

Address: 19007 BRUCE B. DOWNS BLVD.
City: Tampa
State: Florida
ZIP Code: 33647
Phone: (813) 907-0233

Authorized Official

Name: MR. GAUTHAM SAMPATH, ADMINISTRATION
Title: ADMINISTRATOR
Phone: (813) 907-0233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X	Primary

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