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Search › Florida › 2085R0202X

Sangy Pottackal, M.D

NPI 1811286693 · on the registry since 2011

Practice

Address
12901 Bruce B Downs Blvd
Mdc 41
Tampa, FL 33612
Phone
(813) 974-3680
Organisation at this address
University Medical Service Association Inc
University Medical Service Association Inc
University Medical Service Association Inc
University Of South Florida, Board Of Trustees
Inferred from a shared address, not stated in the registry.
Clinicians at this address
250

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
390200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida