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)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
Provider Address
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