Organization
CLINICAL PARTNERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GERDES (PRESIDENT)
(954) 545-0337
Entity
Organization
Contact information
Practice address
350 CROSSGATES BLVD, BRANDON, MS 39042-2601
(954) 545-0337
Mailing address
92 E MCNAB RD, POMPANO BEACH, FL 33060-9238
(954) 545-0337
(954) 545-3497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015727
—
MS
01
—
CH9611
RAIL ROAD MEDICARE
MS
Enumeration date
08/11/2006
Last updated
06/09/2008
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