NPI Profile for INTRALIGN FL LLC in TAMPA, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Registered Nurse First Assistant |
163WR0006X | |||
Surgery |
208600000X | 02 | Physician/General Surgery |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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INTRALIGN FL LLC
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