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Organization
VA MEDICAL CENTER
Active
Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE WESOLOW (D.O.)
(813) 990-9822
Entity
Organization
Contact information
Practice address
500 TRINITY LN N APT 5204, ST PETERSBURG, FL 33716-1236
(813) 990-9822
Mailing address
500 TRINITY LN N APT 5204, ST PETERSBURG, FL 33716-1236
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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