Judith Russ Habasevich in Tampa - Pediatrics
Judith Russ Habasevich - NPI 1659496719
Judith Russ Habasevich is a Pediatrics in Tampa, Florida. Judith Russ Habasevich practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Judith Russ Habasevich is 1659496719. The last update date is 2007-07-08.
Judith Russ Habasevich's current location address is 16546 N Dale Mabry Hwy, Tampa, Florida. You can contact this provider via phone number 8139648481 and fax number 8139648431. The mailing address for Judith Russ Habasevich is 16546 N Dale Mabry Hwy, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Russ Habasevich |
|---|---|
| Address | 16546 N Dale Mabry Hwy, Tampa, Florida |
| Phone Number | 8139648481 |
| Fax Number | 8139648431 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1659496719 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16546 N Dale Mabry Hwy |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336181325 |
| Phone Number | 8139648481 |
| Fax Number | 8139648431 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 19757 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the Judith Russ Habasevich's unique identification number?
The Judith Russ Habasevich has been assigned the NPI (National Provider Identifier) Number 1659496719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Judith Russ Habasevich?
The Judith Russ Habasevich is situated at 16546 N Dale Mabry Hwy, in the city of Tampa, state of FL, with the zip code 336181325.
What is Judith Russ Habasevich's area of expertise and its corresponding taxonomy classification?
The Judith Russ Habasevich's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659496719 to Judith Russ Habasevich?
The Centers for Medicare & Medicaid Services originally issued the 1659496719 to Judith Russ Habasevich on 2007-03-20.
As of what date was the information regarding Judith Russ Habasevich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Judith Russ Habasevich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.