Organization
WEST COAST PATHOLOGY OF FLORIDA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MOBLEY MD (PRESIDENT)
(352) 596-6632
Entity
Organization
Contact information
Practice address
14000 FIVAY RD, REGOINAL MEDICAL CENTER, BAYONET POINT, HUDSON, FL 34667-7103
(727) 819-5252
Mailing address
14000 FIVAY RD, REGIONAL MEDICAL CENTER, BAYONET POINT, HUDSON, FL 34667-7103
(727) 819-5252
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0583111-01
—
FL
Enumeration date
12/12/2011
Last updated
12/12/2011
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