Provider Demographics
NPI:1255061214
Name:APEX INTERNAL MEDICINE OF TAMPA, LLC
Entity type:Organization
Organization Name:APEX INTERNAL MEDICINE OF TAMPA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MUKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SATODIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-787-8078
Mailing Address - Street 1:10353 CROSS CREEK BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2770
Mailing Address - Country:US
Mailing Address - Phone:813-725-4983
Mailing Address - Fax:813-257-7317
Practice Address - Street 1:10353 CROSS CREEK BLVD STE D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2770
Practice Address - Country:US
Practice Address - Phone:813-725-4983
Practice Address - Fax:813-257-7317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty