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Aegis Medical Solutions 1 LLC

Physical Medicine & Rehabilitation, Pain Medicine in Clearwater, FL. Organization (NPI-2).

NPI number1194281758
StatusActive
Last updated in NPPESFeb 19, 2019

Details

NPI
1194281758
Entity type
Organization (NPI-2)
Legal business name
Aegis Medical Solutions 1 LLC
Organization subpart
No
Enumeration date
Feb 19, 2019
Last updated
Feb 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine––Yes

Practice location

1012 Druid Rd E
Clearwater, FL 33756-5606

Phone 727-443-4242 · Fax 727-441-1158

Mailing address

1012 Druid Rd E
Clearwater, FL 33756-5606

Phone 727-443-4242 · Fax 727-441-1158

Authorized official

Ricky P Lockett
Medical Director
7274434242

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