institution
Jose R. Foradada, Iii, Md, P.a.
Pediatric Nurse Practitioner in Tampa, Florida
NPI 1164766002

Jose R. Foradada, Iii, Md, P.a. is a Pediatric Nurse Practitioner based in Tampa, FL and is specialized in Pediatrics. Jose R. Foradada, Iii, Md, P.a. practices in Tampa, FL. The NPI Number for Jose R. Foradada, Iii, Md, P.a. is 1164766002 and holds a License No. ME0056885 (Florida).

The current practice location address for Jose R. Foradada, Iii, Md, P.a. is 4710 N. Habana Ave., Tampa, FL and can be reached out via phone at 813-874-2000. You can also correspond with Jose R. Foradada, Iii, Md, P.a. through the mailing address at 4710 N. HABANA AVE., TAMPA, FL - 33614-7151 (mailing address contact number: 813-874-2000).

Location: 4710 N. Habana Ave., Tampa, FL, 33614-7151
institution
Provider Profile Details
NPI Number
1164766002
Provider Name
Jose R. Foradada, Iii, Md, P.a.
Credential
Provider Entity Type
Organization
Address
4710 N. Habana Ave., Tampa, FL, 33614-7151
Phone Number
813-874-2000
Fax Number
Provider Enumeration Date
11/15/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
273113400 01 FL MEDICAID GROUP
062490000 05 FL
institution
Provider Business Practice Location Address Details
Address
4710 N. Habana Ave.
City
State
Zip
33614-7151
Phone Number
813-874-2000
Fax Number
person
Provider Business Mailing Address Details
Address
4710 N. Habana Ave.
City
State
Zip
33614-7151
Phone Number
813-874-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
ARNP3390982 (Florida)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
ME0056885 (Florida)
Definition
Definition to come...
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