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Organization
NANO LIFE PL
Active
Organization
NANO LIFE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL SMITH (OFFICE MANAGER)
(727) 822-5410
Entity
Organization
Contact information
Practice address
1201 5TH AVE N STE 410, ST PETERSBURG, FL 33705-1433
(727) 580-3719
(941) 746-4111
Mailing address
1201 5TH AVE N STE 410, ST PETERSBURG, FL 33705-1433
(727) 580-3719
(941) 746-4111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
04/16/2018
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