Basic Information
Provider Information
NPI: 1942543863
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILTON
FirstName: ASHLEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3001 W MLK BLVD STE 300
Address2:  
City: TAMPA
State: FL
PostalCode: 336076307
CountryCode: US
TelephoneNumber: 8133507244
FaxNumber:  
Practice Location
Address1: 3001 W MLK BLVD
Address2:  
City: TAMPA
State: FL
PostalCode: 336076307
CountryCode: US
TelephoneNumber: 8138704000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2013
LastUpdateDate: 08/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X136350FLY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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