Organization · Type 2 NPI
Independant Ipa,llc
Specialist · Hudson, FL
NPI number
1720415474
Active
Practice location
13906 Lakeshore Blvd Ste 330
Hudson, FL 34667-1487
Fax (727) 862-8510
Mailing address
11373 Cortez Blvd Ste 206
Brooksville, FL 34613-5405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME87617 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1720415474
Independant Ipa,llc's National Provider Identifier is 1720415474, issued on Sep 26, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hudson, FL. The record was last updated on Sep 26, 2013.