Center For Family Health Wellness And Prevention P A
Family Medicine in Clearwater, FL. Organization (NPI-2).
NPI number1265601595
StatusActive
Last updated in NPPESJul 15, 2010
Details
- NPI
- 1265601595
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Family Health Wellness And Prevention P A
- Organization subpart
- No
- Enumeration date
- Feb 20, 2008
- Last updated
- Jul 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | FL | Yes |
Practice location
3165 N McMullen Booth RdSuite C1
Clearwater, FL 33761-2032
Phone 727-784-8829 · Fax 727-784-7718
Mailing address
3165 N McMullen Booth RdSuite C1
Clearwater, FL 33761-2032
Phone 727-784-8829 · Fax 727-784-7718
Authorized official
Michael Oneal
Medical Doctor
4247848829
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