Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Mar 7, 2006
License(s)
20145 (WV), ME97392 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2 COLUMBIA DR SUITE A327 | Tampa, FL 33606-3508 | 813-844-4396 |
| LOCATION | 2 COLUMBIA DR SUITE A327 | Tampa, FL 33606-3508 | 813-844-4396 |
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