Organization
ST. PETERSBURG GENERAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VP)
(561) 548-1089
Entity
Organization
Contact information
Practice address
6450 38TH AVE N, SUITE 410, ST PETERSBURG, FL 33710-1645
(727) 344-4200
(727) 344-4221
Mailing address
3 MARYLAND FARMS, SUITE 250, BRENTWOOD, TN 37027-5005
(800) 661-3365
(866) 689-4661
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
FL
Other
Enumeration date
03/16/2007
Last updated
08/12/2008
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