Organization
HANSON CLINICAL RESEARCH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENITA HANSON MD (PRESIDENT)
(941) 764-9110
Entity
Organization
Contact information
Practice address
21216 OLEAN BLVD, SUITE 8, PORT CHARLOTTE, FL 33952-6722
(941) 764-9110
(941) 764-9123
Mailing address
21216 OLEAN BLVD, SUITE 8, PORT CHARLOTTE, FL 33952-6722
(941) 764-9110
(941) 764-9123
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME67817
FL
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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