Ansari, Bita

Ansari, Bita is an individual health care provider with primary practice located at 6822 W Waters Ave , Tampa FL 33634-2212. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Ansari, Bita can be contacted via phone (813) 541-8734.

Contact Information

Primary practice address
6822 W Waters Ave Tampa FL 33634-2212
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3210 Florida

Profile Details

NPI number 1962451450
LBN Legal business name Ansari, Bita
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962451450 NPPES
Florida Other 65921 BCBS

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