Organization · Type 2 NPI
Main ST Medical USA
Addiction Medicine (Internal Medicine) Physician · Tampa, FL
Practice location
11734 North Dale Mabry
Tampa, FL 33618
Fax (813) 968-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
| Pain Medicine Physician | 208VP0000X | None listed |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Other addiction medicine (internal medicine) physician providers in Tampa
About NPI 1003039033
Main ST Medical USA's National Provider Identifier is 1003039033, issued on Apr 10, 2007. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Tampa, FL. The record was last updated on Sep 24, 2013.