Bassaly, Renee Marie
Bassaly, Renee Marie is an individual health care provider with primary practice located at 3617 W Hamilton Ave , Tampa FL 33614-4055. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Bassaly, Renee Marie can be contacted via phone (813) 467-4265.Contact Information
Primary practice address
3617 W Hamilton Ave
Tampa FL 33614-4055
Phone: (813) 467-4265
Fax: (813) 467-4267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | OS10371 | Florida |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | OS10371 | Florida |
Profile Details
| NPI number | 1235399130 |
|---|---|
| LBN Legal business name | Bassaly, Renee Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Aug 6th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235399130 | NPPES |
| Florida | MEDICAID | 003665900 |
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