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Organization
GULFCOAST SURGICAL ASSISTING, LLC
Active
Organization
GULFCOAST SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY B CENTRACCHIO PA-C (PHYSICIAN ASSISTANT)
(727) 215-5197
Entity
Organization
Contact information
Practice address
2024 JEFFERSON AVE, DUNEDIN, FL 34698-2613
(727) 215-5197
Mailing address
2024 JEFFERSON AVE, DUNEDIN, FL 34698-2613
(727) 215-5197
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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