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1235174830
DOUGLAS RE
TAMPA, FL
NPI
1235174830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9103254)
Enumeration Date
2006-06-18
Last Update Date
2010-01-07
Business Address
Mr. DOUGLAS RE P.A.
6001 WEBB RD EMERGENCY DEPARTMENT
TAMPA, FL 33615-3241
Phone number: 813-888-7060
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Mailing Address
Mr. DOUGLAS RE P.A.
861 SW 78TH AVE SUITE #100B
PLANTATION, FL 33324-3229
Phone number: 954-693-0000
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