NPI 1073329173
William Street
Practice location
- Address
- 4613 Courtland St, Tampa, FL 33610-7060
- Phone
- (813) 476-9006
- Mailing address
- 7001 Baywood Dr, Tampa, FL 33637-6463
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1073329173
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Dec 2024
- Record last updated
- 4 Dec 2024
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.