EDWARD B KAMPSEN MD PA
Medical Practice at De Leon St, Tampa, FL

License number
Florida ME0036974
Category
Medical Practice
Type
Otolaryngology
Owner
Name: DR. EDWARD B KAMPSEN M.D
Title: OWNER
Phone: (813) 877-2685
Address
Address
2835 W De Leon St #202, Tampa, FL 33609
National Provider ID: 1699971804
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDWARD B. KAMPSEN, M.D., PA

Tampa, FL

Registration:
Nov 7, 1988
Addresses:
2835 Deleon St SUITE 202, Tampa, FL 33609 (Physical)
3224 Henderson Blvd, Tampa, FL 33609
State ID:
K43825
Business type:
Florida Profit Corporation
Managing Members:
Edward B. Kampsen (Director), 2835 W Deleon St #202, Tampa, FL 33609 (Physical),3401 57Th St N Llc Managing Member, inactive
Agent:
Edward Kampsen,2835 W Deleon St, Tampa, FL 33609 (Physical)
EIN:
59-2929014

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