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Organization
HOSPITAL SPECIALISTS
Active
Organization
HOSPITAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY G PAVLAT M.D. (RESIDENT)
(347) 246-7494
Entity
Organization
Contact information
Practice address
4466 SWILCAN BRIDGE LN N, JACKSONVILLE, FL 32224-5617
(904) 962-2694
Mailing address
2041 SEAGIRT BLVD APT 4G, FAR ROCKAWAY, NY 11691-5803
(347) 246-7494
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME103761
FL
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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