Organization
SUMMIT HEALTH SPECIALISTS, P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROCK LOVELACE (MANAGER)
(813) 220-5535
Entity
Organization
Contact information
Practice address
15511 N FLORIDA AVE, SUITE B3, TAMPA, FL 33613-1263
(813) 964-1401
(813) 235-9753
Mailing address
PO BOX 518, LAND O LAKES, FL 34639-0518
(813) 964-1401
(813) 235-9753
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME57257
FL
Other
Enumeration date
10/12/2011
Last updated
11/03/2011
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