Provider Demographics
NPI:1104013507
Name:TAMPA RENAL PHYSICIANS PL
Entity Type:Organization
Organization Name:TAMPA RENAL PHYSICIANS PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:F
Authorized Official - Last Name:RUIZ-RAMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-910-8708
Mailing Address - Street 1:3500 E FLETCHER AVE
Mailing Address - Street 2:SUITE 218
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4708
Mailing Address - Country:US
Mailing Address - Phone:813-910-8708
Mailing Address - Fax:813-910-7386
Practice Address - Street 1:3500 E FLETCHER AVE
Practice Address - Street 2:SUITE 218
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4708
Practice Address - Country:US
Practice Address - Phone:813-910-8708
Practice Address - Fax:813-910-7386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty