COVENANT MEDICAL CLINIC is a general practice in Tampa, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee COVENANT MEDICAL CLINIC NPI is 1528380748. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2812 W DR MARTIN LUTHER KING JR BLVD
SUITE 2
TAMPA, FL
ZIP 33607-306
Phone: (813) 874-0850
Fax: (813) 874-0590
The provider's authorized official is Mobolanle Fadare .
The authorized official title is Owner and has the following contact phone number (813) 874-0850.
The enumeration date for this NPI number is 2/16/2010 and was last updated on 2/16/2010.