Lamoutte & Verdeja Mds P A

NPI 1235336306 - Specialist - 174400000X

NPI Details
NPI 1235336306
Enumeration Date 07/01/2007
Last Updated 12/04/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARLOS CARLOS
Position PRESIDENT
Phone (813) 719-3380
Fax (813) 719-3060
Practice Location
1601 W TIMBERLANE DR
SUITE 600
PLANT CITY FL, 33566-0959, US
Phone (813) 719-3380
Fax (813) 719-3060
Business Location
PO BOX 1090
PLANT CITY FL, 33564-1090, US
Phone (813) 719-3380
Fax (813) 719-3060
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME 78183
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According to our database, Lamoutte & Verdeja Mds P A NPI is 1235336306, taxonomy code is 174400000X and license number is ME 78183, license state is located at Florida. Lamoutte & Verdeja Mds P A physically located at 1601 W Timberlane Dr, Plant City FL, 33566-0959. NPI Number 1033115704 has the healthcare provider type.

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1235336306 NPI number is provided on an as is basis without warranty of any kind. 1235336306 is maintained by the National Plan & Provider Enumeration System. The contents of Lamoutte & Verdeja Mds P A are for informational purposes only.