Organization
ANCILLARY MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT SCHROEDER (OWNER)
(813) 985-8533
Entity
Organization
Contact information
Practice address
10948 N 56TH ST STE 202, TEMPLE TERRACE, FL 33617-3001
(813) 985-8513
(813) 436-5523
Mailing address
10948 N 56TH ST STE 202, TEMPLE TERRACE, FL 33617-3001
(813) 985-8513
(813) 436-5523
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/29/2014
Last updated
11/06/2014
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