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Organization

VASWEB, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER M FREIDIN (OFFICE MANAGER)
(813) 536-1429
Entity
Organization

Contact information

Practice address
288 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 536-1429
(813) 536-1432
Mailing address
288 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 536-1429

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
05/15/2024
Last updated
05/15/2024
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