Organization
EASTLAKE MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY TAUNK MD (PRESIDENT)
(727) 789-6551
Entity
Organization
Contact information
Practice address
2595 TAMPA RD, STE K, PALM HARBOR, FL 34684-3152
(727) 789-6551
Mailing address
2595 TAMPA RD, STE K, PALM HARBOR, FL 34684
(727) 789-6551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0064536
FL
Other
Enumeration date
08/14/2007
Last updated
12/03/2012
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