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Individual

DR. CARLOS R. DALENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4206
(813) 870-4853
Mailing address
4600 N HABANA AVE, SUITE 19-A, TAMPA, FL 33614-7166
(813) 874-3993
(813) 876-4942

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0064611
FL

Other

Enumeration date
07/19/2006
Last updated
07/08/2007
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