Provider Demographics
NPI:1538578729
Name:TAMPA BAY MED INC
Entity type:Organization
Organization Name:TAMPA BAY MED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ABINALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-526-4122
Mailing Address - Street 1:7500 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-5400
Mailing Address - Country:US
Mailing Address - Phone:727-526-4122
Mailing Address - Fax:727-525-1835
Practice Address - Street 1:7500 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5400
Practice Address - Country:US
Practice Address - Phone:727-526-4122
Practice Address - Fax:727-525-1835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty