Organization
CHURCH STREET MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRESH SARAIYA (PRESIDENT)
(813) 783-3118
Entity
Organization
Contact information
Practice address
13417 US HIGHWAY 301, DADE CITY, FL 33525-5446
(352) 567-5136
(352) 567-1321
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-1255
(813) 780-9773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
10/06/2011
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