Registry details
Type
Individual
Primary specialty
Hospitalist
Enumerated
May 20, 2010
License(s)
4301096300 (MI), ME136178 (FL), ME136178 (FL), ME136178 (FL), ME136178 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 9981 S HEALTHPARK DR | Fort Myers, FL 33908-3618 | 239-343-5820 |
| MAILING | 2727 W DR MARTIN LUTHER KING JR BLVD STE 800 | Tampa, FL 33607-6065 | 813-873-0000 |
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