Gwendolyn Bruch Michaelman in Tampa - Medical
Gwendolyn Bruch Michaelman - NPI 1619094174
Gwendolyn Bruch Michaelman is a Medical in Tampa, Florida. Gwendolyn Bruch Michaelman practices all healthcare services and medical treatments related to Medical. The NPI Number for Gwendolyn Bruch Michaelman is 1619094174. The last update date is 2008-06-30.
Gwendolyn Bruch Michaelman's current location address is 2727 W Dr Martin Luther King Jr Blvd, Tampa, Florida. You can contact this provider via phone number 8138745707. The mailing address for Gwendolyn Bruch Michaelman is 2727 W Dr Martin Luther King Jr Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn Bruch Michaelman |
|---|---|
| Address | 2727 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
| Phone Number | 8138745707 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1619094174 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 2727 W Dr Martin Luther King Jr Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336076383 |
| Phone Number | 8138745707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | Q62542 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292912100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gwendolyn Bruch Michaelman by the Centers for Medicare & Medicaid Services?
The Gwendolyn Bruch Michaelman has been assigned the NPI (National Provider Identifier) 1619094174 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Gwendolyn Bruch Michaelman is physically located?
The Gwendolyn Bruch Michaelman is physically situated at the following address: 2727 W Dr Martin Luther King Jr Blvd, Tampa, FL, 336076383.
What is Gwendolyn Bruch Michaelman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gwendolyn Bruch Michaelman's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Gwendolyn Bruch Michaelman receive the assignment of its 1619094174 from the Centers for Medicare & Medicaid Services?
The Gwendolyn Bruch Michaelman was issued its 1619094174 by the Centers for Medicare & Medicaid Services on 2007-03-22.
As of what date was the information regarding Gwendolyn Bruch Michaelman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gwendolyn Bruch Michaelman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-30.