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1740494848
LAWRENCE MICHAEL GUSTIN
TAMPA, FL
NPI
1740494848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME47296)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- LAWRENCE MICHAEL GUSTIN M.D.
6302 EAGLEBROOK AVE
TAMPA, FL 33625-1514
Phone number: 813-968-8330
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Mailing Address
-- LAWRENCE MICHAEL GUSTIN M.D.
6302 EAGLEBROOK AVE
TAMPA, FL 33625-1514
Phone number: 813-968-8330
Copy
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