ASTHMA ALLERGY AND IMMUNOLOGY OF TAMPA BAY PA
Ambulatory Health in Tampa, FL

License number
Florida ME88573
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DIANA PATRICIA MARTIN M.D.
Title: PRESIDENT
Phone: (813) 873-1177
Address
Address
1918 W Martin L King Jr Blvd, Tampa, FL 33607
National Provider ID: 1982816716
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Asthma, Allergy and Immunology of Tampa Bay, P.A

1918 W Martin L King Jr Blvd, Tampa, FL 33607

Registration:
Sep 8, 2003
State ID:
P03000099789
Business type:
Domestic for Profit Corporation
Director, Vice Presidents:
Diana P. Jerez-Martin (President, Director),Agustin A. Martin (Director, Vice President)

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