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Organization

PADGETT MEDICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAUN PADGETT LMT (OWNER)
(813) 907-2011
Entity
Organization

Contact information

Practice address
18952 DALE MABRY HWY N STE 101, LUTZ, FL 33548-4916
(813) 949-7105
Mailing address
1503 W LE COMPTE DR, TAMPA, FL 33604-5827
(813) 943-3353
(813) 907-0027

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
PMC 959
FL

Other

Enumeration date
06/11/2010
Last updated
06/11/2010
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