Organization
COMMUNITY HEALTH SOLUTIONS OF AMERICA PSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE SCHMIDT (SECRETARY)
(888) 290-6321
Entity
Organization
Contact information
Practice address
13600 ICOT BLVD BLDG B, CLEARWATER, FL 33760-3703
(888) 290-6321
(888) 875-1592
Mailing address
13600 ICOT BLVD BLDG B, CLEARWATER, FL 33760-3703
(888) 290-6321
(888) 875-1592
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
Other
Enumeration date
11/08/2016
Last updated
11/28/2016
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