ProviderBusinessMailingAddressFaxNumber = '8138771938'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1437228145
BOOTH
RITA
4809 N ARMENIA AVE
TAMPA
FL
336031447
1285730564
MARTINEZ
STACY
G
2700 W DR MARTIN LUTHER KING JR BLVD
TAMPA
FL
336076386
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