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Organization
DIAGNOSTIC PATHOLOGY ASSOCIATES PA
Active
Organization
DIAGNOSTIC PATHOLOGY ASSOCIATES PA
Active
Parent organization
DIAGNOSTIC PATHOLOGY ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC PATHOLOGY ASSOCIATES PA
Authorized official
DR. CLIFTON L BRIDGES JR. MD (MD PRESIDENT)
(352) 323-5300
Entity
Organization
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5300
Mailing address
5755 HOOVER BLVD, TAMPA, FL 33634-5340
(866) 944-0404
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/15/2005
Last updated
03/27/2008
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