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1568656429
WEST COAST MEDICINE OF TAMPA BAY, LLC
TAMPA, FL
NPI
1568656429
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Entity Type
Organization
Authorized Contact
MARK GEORGE KANTZLER
Owner
727-458-3011
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS5165)
Enumeration Date
2007-09-04
Last Update Date
2012-02-08
Business Address
WEST COAST MEDICINE OF TAMPA BAY, LLC
1155 S DALE MABRY HWY #19
TAMPA, FL 33629-5035
Phone number: 727-458-3011
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Mailing Address
WEST COAST MEDICINE OF TAMPA BAY, LLC
PO BOX 1619
LARGO, FL 33779-1619
Phone number: 727-458-3011
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