WALTER E. AFIELD, MD PA
Psychiatric at Cypress St, Tampa, FL

License number
Florida ME9434
Category
Psychiatric
Type
Psychiatry
License number
Florida ME9434
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: DR. WALTER EDWARD AFIELD MD
Title: MEDICAL DIRECTOR
Phone: (813) 636-8811
Address
Address
5820 W Cypress St SUITE B, Tampa, FL 33607
National Provider ID: 1225107196
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WALTER E. AFIELD, M.D., PA

Tampa, FL

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Doing business as:
Afield, Walter E MD<br>Cypress Medical Group<br>Neuropsychiatric Institute<br>Npi
Inactive reason:
CANCEL ADM DISS/REV
Registration:
May 25, 1971
Inactive since:
Oct 11, 2007
Phone:
(813) 636-8811 (Phone)
Addresses:
4107 W Spruce St STE 100, Tampa, FL 33607 (Physical)
5820 W Cypress St, Tampa, FL 33607
State ID:
602840
Business type:
Florida Profit Corporation
President, Director:
Walter E Afield (President, Director), 4619 W Bay To Bay Blvd, Tampa, FL 33607 (Physical)
Agent:
Walter Afield,4107 W Spruce St STE 100, Tampa, FL 33607 (Physical)
EIN:
59-1356640

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