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Organization

CLEARWATER SURGICAL ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KURT ERICKSON MD, FACS (PRESIDENT)
(727) 446-5681
Entity
Organization

Contact information

Practice address
1106 DRUID RD S, STE 301, CLEARWATER, FL 33756-3846
(727) 446-5681
(727) 461-6258
Mailing address
1106 DRUID RD S, STE 301, CLEARWATER, FL 33756-3846
(727) 446-5681
(727) 461-6258

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
04/30/2009
Last updated
04/30/2009
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