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Contact Information

INTRALIGN FL LLC
12880 COMMODITY PLACE
TAMPA, FL33626-3101
 Phone: 813-343-5500
 Fax: 813-343-5506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Registered Nurse First Assistant

163WR0006X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for INTRALIGN FL LLC · (Female)

NPI # 1043273170
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2006
Last updated 09/17/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 291747500
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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