Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Sep 15, 2005
License(s)
ME64377 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2410 NORTHSIDE DR STE A | Clearwater, FL 33761-2236 | 727-499-0351 |
| LOCATION | 3543 LITTLE RD STE A | Trinity, FL 34655-1814 | 727-848-6400 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.