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Organization
PALM HARBOR INTERNAL MEDICINE AND PEDIATRICS, PA
Active
Organization
PALM HARBOR INTERNAL MEDICINE AND PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY M GOLDSTEIN M.D. (PRESIDENT OF CORPORATION)
(727) 789-5811
Entity
Organization
Contact information
Practice address
3890 TAMPA RD, SUITE 101, PALM HARBOR, FL 34684-3676
(727) 789-5811
(727) 786-8417
Mailing address
3890 TAMPA RD, SUITE 101, PALM HARBOR, FL 34684-3676
(727) 789-5811
(727) 786-8417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/27/2006
Last updated
10/02/2013
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