ADVANCE TAMPA BAY FOOT MEDICAL LLC NPI 1821340225

NPI Information

ADVANCE TAMPA BAY FOOT MEDICAL, LLC is a foot surgery podiatrist in Tampa, FL. ADVANCE TAMPA BAY FOOT MEDICAL, LLC NPI is 1821340225. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3325 W GANDY BLVD
TAMPA, FL
ZIP 33611-931
Phone: (813) 831-3813

The provider's authorized official is Benjamin Q Le .
The authorized official title is Authorize Officer and has the following contact phone number (813) 831-3813.

The enumeration date for this NPI number is 10/9/2012 and was last updated on 5/11/2017.

Taxonomy Codes

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Other Identifiers

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