Covenant Medical Clinic
Covenant Medical Clinic provides General Practice Physician services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2010.
- Licensed in
- FL
- In the registry since
- 2010
Practice location Address checks out
2812 W Dr Martin Luther King Jr Blvd Ste 2Tampa, FL 33607-6306 Not confirmed with CMS for 16 years — call before visiting
Phone: (813) 874-0850
Fax: (813) 874-0590
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 126336 (FL) |
|---|
Record details
| NPI number | 1528380748 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mobolanle Fadare — Owner · (813) 874-0850 |
| NPI enumerated | February 16, 2010 |
| Last updated in NPPES | February 16, 2010 |
| Mailing address | 2812 W Dr Martin Luther King Jr Blvd, Suite 2, Tampa, FL 33607-6306 |
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