NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1023067220
DWIC OF TAMPA BAY, INC.
1001 CONSOL ENERGY DR
CANONSBURG
PA
153176506
1720051733
TOMELDEN
CORNEL
13610 BRUCE B DOWNS BLVD
TAMPA
FL
336134650
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