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Organization

FLORIDA PATHOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHRAF HASSANEIN MD (MEDICAL DIRECTOR)
(352) 430-2650
Entity
Organization

Contact information

Practice address
11950 COUNTY ROAD 101, SUITE 203, THE VILLAGES, FL 32162-9332
(352) 430-2650
(352) 430-2651
Mailing address
11950 COUNTY ROAD 101, SUITE 203, THE VILLAGES, FL 32162-9332
(352) 430-2650
(352) 430-2651

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800017685
FL

Other

Enumeration date
09/27/2006
Last updated
08/27/2008
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