Organization Name: | TAMPA MEDICAL PARTNERS INC. |
NPI Number: | 1689751950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUIS KRUDO (CEO/OWNER) |
Mailing Address: | 8140 Picton Way St#103 Trinity |
State: | FL US |
Postal Code: | 346551792 |
Phone Number: | 7273759700 |
Fax Number: | 7273759720 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 12/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS6009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |