Provider Demographics
NPI:1003812629
Name:DEBORAH A TREHY MD PA & PAMELA A PADILLA MD PA
Entity Type:Organization
Organization Name:DEBORAH A TREHY MD PA & PAMELA A PADILLA MD PA
Other - Org Name:TREHY & PADILLA MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALLACE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLACKBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-873-7106
Mailing Address - Street 1:2502 W SAINT ISABEL ST
Mailing Address - Street 2:STE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6355
Mailing Address - Country:US
Mailing Address - Phone:813-873-7106
Mailing Address - Fax:813-348-0074
Practice Address - Street 1:2502 W SAINT ISABEL ST
Practice Address - Street 2:STE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6355
Practice Address - Country:US
Practice Address - Phone:813-873-7106
Practice Address - Fax:813-348-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31997.0000207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL98936OtherBCBS GROUP #
FL98936Medicare ID - Type UnspecifiedMEDICARE GROUP #