Individual
CLIVE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2821 6TH AVE N, ST PETERSBURG, FL 33713-6707
(954) 696-9522
Mailing address
2821 6TH AVE N, ST PETERSBURG, FL 33713-6707
(954) 696-9522
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
TT10100
FL
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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