Organization
PR MEDICAL CENTER PLC
Active
Other names
PR MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELSHAFEY ABDALLAH-ASHOUR (OWNER)
(813) 988-1500
Entity
Organization
Contact information
Practice address
10750 N 56TH ST, TEMPLE TERRACE, FL 33617-3615
(813) 988-1500
Mailing address
10750 N 56TH ST, TEMPLE TERRACE, FL 33617-3615
(813) 988-1500
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
PMC207
FL
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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