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Organization

SMITH WINQUIST & ASSOCIATES MD PA

Active
Other names
Gulf Coast Pathologists
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS LANCIA MD (PRESIDENT)
(727) 842-4848
Entity
Organization

Contact information

Practice address
2631 MCCORMICK DR STE 101, CLEARWATER, FL 33759-1075
(727) 842-4848
(727) 842-9513
Mailing address
2631 MCCORMICK DR STE 101, CLEARWATER, FL 33759-1075
(727) 842-4848
(727) 842-9513

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060234500
FL
01
77217
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/02/2007
Last updated
07/15/2022
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