NPI 1205872710

Tampa Urology PA

Organisation Urology Physician Tampa, FL

Practice location

Address: 1209 W Swann Ave, Tampa, FL 33606-2639
Phone: (813) 253-3007
Fax: (813) 253-2098

Authorised official

Name: Malcolm Root
Title: Owner President
Phone: (813) 253-3007

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 05 8026 (FL)

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Registry record

NPI: 1205872710
Entity type: Organization
NPI issued: 22 Jun 2006
Record last updated: 4 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.