Organization

Gil Emmanuel A Mejia Md Pa

Internal Medicine Physician in Tampa, FL(View on Map)

Legal Business Name

Gil Emmanuel A Mejia Md Pa

NPI Number

1073710653

NPI Type

Organization

Enumeration Date

06/28/2007

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

4102 W LINEBAUGH AVE
4102 W LINEBAUGH AVE

City

Tampa
Tampa

State

FL
FL

Postal Code

33624-5296
33624-5296

Country

US
US

Telephone Number

(813) 960-3436
(813) 960-3436

Authorized Official

Name

Vina Mejia Beech

Title or Position

HEALTH SERVICE MANAGER

Telephone Number

(813) 960-3436

Identifiers

Identifier

2244015
369744
AD169
255428
44247
256054200

Identifier State

FL
FL
FL
FL
FL
FL

Identifier Issuer

AETNA
WELLCARE
PTAN
AVMED
BCBS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/20/2009

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