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Organization

TRI-COUNTY PULMONARY & MULTI-SPECIALTY GROUP P A

Active
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Organization

TRI-COUNTY PULMONARY & MULTI-SPECIALTY GROUP P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAN ARSENIJEVITH (BUSINESS ADMINISTRATOR)
(352) 350-1556
Entity
Organization

Contact information

Practice address
1507 BUENOS AIRES BLVD, THE VILLAGES, FL 32159-8974
(352) 350-1600
(352) 750-8032
Mailing address
1507 BUENOS AIRES BLVD, THE VILLAGES, FL 32159-8974
(352) 350-1600
(352) 750-8032

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262056100
FL
Enumeration date
12/01/2005
Last updated
06/18/2008
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