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Contact Information

HENRIA M FAIN, M.D., DPT, ATC
800 W. MARTIN LUTHER KING JR. BLVD
SUITE 4
TAMPA, FL33603
 Phone: 813-743-4383
 Fax: 888-713-4253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for HENRIA M FAIN · (Female)

NPI Number 1487836680
Status Active
Credentials M.D., DPT, ATC
Entity Individual
Enumeration date 11/29/2007
Last updated 12/13/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 19365
  • FL License # ME133303
  • WI License # 10700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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