Organization Name: | DEBORAH A TREHY MD PA & PAMELA A PADILLA MD PA |
NPI Number: | 1003812629 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALLACE A BLACKBURN (OFFICE MANAGER) |
Mailing Address: | 2502 W Saint Isabel St Ste B Tampa |
State: | FL US |
Postal Code: | 336076355 |
Phone Number: | 8138737106 |
Fax Number: | 8133480074 |
NPI Enumeration Date: | 06/28/2005 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 31997.0000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |