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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235399130 NPPES
Florida MEDICAID 003665900

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