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Organization

HYPERTENSION KIDNEY AND STONE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE S MUTHALAKUZHY MD (PRESIDENT/PROVIDER)
(813) 724-3868
Entity
Organization

Contact information

Practice address
5344 9TH ST STE 107, ZEPHYRHILLS, FL 33542-4348
(813) 724-3868
(813) 724-3992
Mailing address
PO BOX 2619, ZEPHYRHILLS, FL 33539-2619
(813) 724-3868
(813) 724-3992

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME104902
FL

Other

Enumeration date
10/12/2016
Last updated
12/17/2024
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