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Covenant Medical Clinic
General Practice Physician in Tampa, Florida
NPI 1528380748

Covenant Medical Clinic is a General Practice Physician based in Tampa, FL. Covenant Medical Clinic practices in Tampa, FL. The NPI Number for Covenant Medical Clinic is 1528380748 and holds a License No. 126336 (Florida).

The current practice location address for Covenant Medical Clinic is 2812 W Dr Martin Luther King Jr Blvd, Tampa, FL and can be reached out via phone at 813-874-0850 and via fax at 813-874-0590.

Location: 2812 W Dr Martin Luther King Jr Blvd, Tampa, FL, 33607-6306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528380748
Provider Name
Covenant Medical Clinic
Credential
Provider Entity Type
Organization
Address
2812 W Dr Martin Luther King Jr Blvd, Tampa, FL, 33607-6306
Phone Number
813-874-0850
Fax Number
813-874-0590
Provider Enumeration Date
02/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2812 W Dr Martin Luther King Jr Blvd
City
Tampa
State
Florida
Zip
33607-6306
Phone Number
813-874-0850
Fax Number
813-874-0590
person
Provider Business Mailing Address Details
Address
2812 W Dr Martin Luther King Jr Blvd
City
Tampa
State
Florida
Zip
33607-6306
Phone Number
813-874-0850
Fax Number
813-874-0590
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
126336 (Florida)
Definition
Definition to come...
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