North Park Medical Center

NPI #1962755520 in Tampa, Florida

Provider Information

NPI Number: 1962755520
Entity Type: Organization
Organization Name: North Park Medical Center
Primary Specialty: General Practice
Enumeration Date: Oct 19, 2012
Last Updated: Oct 19, 2012

Practice Location

Address: 6800 N DALE MABRY HWY
Address 2: STE 198
City: Tampa
State: Florida
ZIP Code: 33614-3997
Phone: (813) 935-1944

Authorized Official

Name: LUIS MIRANDA GENARO, MD
Title: PRESIDENT
Phone: (813) 935-1944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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