NPI 1023507407

Mildred Catherine Conneely, ARNP

Practitioner General Practice Physician Tampa, FL

Practice location

Address: 1701 W Jetton Ave, Tampa, FL 33606-3026
Phone: (813) 786-6364

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence F02180856 (FL)

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Registry record

NPI: 1023507407
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2018
Record last updated: 1 May 2018

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.