Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 6, 2008
License(s)
ME110374 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 14547 BRUCE B DOWNS BLVD | Tampa, FL 33613-2709 | 813-979-0440 |
| MAILING | 38135 MARKET SQ | Zephyrhills, FL 33542-7505 | 813-528-4975 |
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