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1538199435
ADVANCED MEDICAL THERAPY INSTITUTE, INC.
ST PETERSBURG, FL
NPI
1538199435
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Entity Type
Organization
Authorized Contact
JOE DISTEFANO
Owner
727-397-9118
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2006-07-04
Last Update Date
2008-06-30
Business Address
ADVANCED MEDICAL THERAPY INSTITUTE, INC.
6776 54TH AVE N SUITE B
ST PETERSBURG, FL 33709-1405
Phone number: 727-397-9118
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Mailing Address
ADVANCED MEDICAL THERAPY INSTITUTE, INC.
6776 54TH AVE N SUITE B
ST PETERSBURG, FL 33709-1405
Phone number: 727-397-9118
Copy
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