Individual
LASZLO SAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5121 EHRLICH RD, 112/A, TAMPA, FL 33624-2049
(813) 347-2419
Mailing address
5121 EHRLICH RD, 112/A, TAMPA, FL 33624-2049
(813) 347-2419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA57240
FL
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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