# MEDICAL SPECIALTY CLINICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801109889
- **Authorized official:** MS. KATHY J GORDON (MGRM)
- **Authorized official phone:** (352) 239-4659

## Contact information

- **Practice address:** 860 S VILLAGE DR N, 105, ST PETERSBURG, FL 33716-3024
- **Practice address phone:** (352) 239-4659
- **Mailing address:** 860 S VILLAGE DR N, 105, ST PETERSBURG, FL 33716-3024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2010
- **Last updated:** 10/21/2010