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NPI 1730755729 Active Family Medicine

Quick Facts

NPI Number

1730755729

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2021-06-01

Last Updated (NPPES)

2023-05-25

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`

Practice Address

2251 DREW ST STE A
CLEARWATER, FL 337653306

Phone: 727-591-9010

Fax: 727-591-9090

Mailing Address

2251 DREW ST
CLEARWATER, FL 337653306

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