Organization
PHYSICIANS RIGHTPATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD RUSSELL LOCKE M.D. (PRESIDENT)
(352) 861-9078
Entity
Organization
Contact information
Practice address
10421 UNIVERSITY CENTER DR, 500F, TAMPA, FL 33612-6427
(813) 549-1050
(813) 549-1051
Mailing address
10421 UNIVERSITY CENTER DR, 500F, TAMPA, FL 33612-6427
(813) 549-1050
(813) 549-1051
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PENDING
FL
Other
Enumeration date
08/09/2007
Last updated
01/03/2008
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