Basic Information
Provider Information
NPI: 1346533205
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCPHIE
FirstName: ASHLEY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 82969
Address2:  
City: TAMPA
State: FL
PostalCode: 336822969
CountryCode: US
TelephoneNumber: 8138660930
FaxNumber: 8138660929
Practice Location
Address1: 7814 N DALE MABRY HWY
Address2:  
City: TAMPA
State: FL
PostalCode: 336143220
CountryCode: US
TelephoneNumber: 8134053939
FaxNumber: 8134053938
Other Information
ProviderEnumerationDate: 05/25/2011
LastUpdateDate: 07/23/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XME119947FLY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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