| Organization Name: | TAMPA PHYSICIANS ALLIANCE CORP |
| NPI Number: | 1770856627 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK G WATSON (PRESIDENT) |
| Mailing Address: | 5526 Terrain De Golf Dr Lutz |
| State: | FL US |
| Postal Code: | 335582861 |
| Phone Number: | 8139310000 |
| Fax Number: | 8139098517 |
| NPI Enumeration Date: | 02/22/2012 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |