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Organization
LWCMDIV, LLC
Active
Organization
LWCMDIV, LLC
Active
Other names
MDIV
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A LA TORRE D.C. (MANAGING PARTNER)
(727) 321-6130
Entity
Organization
Contact information
Practice address
2150 49TH ST N, SUITE C, SAINT PETERSBURG, FL 33710-5237
(727) 321-6130
(727) 327-2677
Mailing address
2150 49TH ST N, SUITE C, SAINT PETERSBURG, FL 33710-5237
(727) 321-6130
(727) 327-2677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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