NPI 1407866098

James a Haley VA

Organisation Military Hospital Tampa, FL

Practice location

Address: 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745
Phone: (813) 972-2000
Mailing address: 7142 Queen Palm Cir, Sarasota, FL 34243-5038

Authorised official

Name: Cheryl Lynn Liedtke
Title: Physician Assistant
Phone: (813) 972-2000

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence PA9101925 (FL)

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Registry record

NPI: 1407866098
Entity type: Organization
NPI issued: 8 Aug 2006
Record last updated: 22 Aug 2020

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.