South Tampa Medical Associates Inc
Internal Medicine Physician in Tampa, FL(View on Map)
Legal Business Name
South Tampa Medical Associates Inc
NPI Number
1114258043
NPI Type
Organization
Enumeration Date
01/15/2010
Specialties
(Taxonomies)Licenses
State
Florida
License Number
OS0003135
Contact
Information
Purpose
Mailing
Location
Address
3614 W KENNEDY BLVD
3614 W KENNEDY BLVD
City
Tampa
Tampa
State
FL
FL
Postal Code
33609-2852
33609-2852
Country
US
US
Telephone Number
(813) 890-8004
(813) 890-8004
Authorized Official
Name
Leonard Mennen
Title or Position
PHYSICIAN
Telephone Number
(813) 890-8004
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/15/2010
Provider Address
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