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Florida Med Center Countryside

Internal Medicine in Palm Harbor, FL. Organization (NPI-2).

NPI number1477540409
StatusActive
Last updated in NPPESJun 17, 2008

Details

NPI
1477540409
Entity type
Organization (NPI-2)
Legal business name
Florida Med Center Countryside
Organization subpart
No
Enumeration date
Oct 4, 2005
Last updated
Jun 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine–FLYes

Practice location

2595 Tampa Rd
Suite M
Palm Harbor, FL 34684-3152

Phone 727-772-8007 · Fax 727-772-6648

Mailing address

1840 N Highland Ave
Clearwater, FL 33755-2138

Phone 727-442-3001 · Fax 727-467-9106

Authorized official

Ali M Saifi
President
7274423001

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