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Organization
MCBATH MEDICAL CENTER PA
Active
Organization
MCBATH MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PHILIP MCBATH D.O. (OWNER PHYSICIAN)
(352) 567-6763
Entity
Organization
Contact information
Practice address
13933 17TH ST, STE: 101, DADE CITY, FL 33525-4603
(352) 567-6763
(352) 567-1358
Mailing address
13933 17TH ST, STE: 101, DADE CITY, FL 33525-4603
(352) 567-6763
(352) 567-1358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
FC1011371
FL
207Q00000X
Family Medicine Physician
Primary
OS6111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278099200
—
FL
01
—
34296
BCBS
FL
Enumeration date
04/27/2007
Last updated
11/30/2009
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