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Organization

JOSHUA C KREITHEN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA C KREITHEN MD (OWNER)
(941) 907-8174
Entity
Organization

Contact information

Practice address
6310 HEALTH PARKWAY, SUITE 110, LAKEWOOD RANCH, FL 34202-5177
(941) 907-8174
(941) 907-8177
Mailing address
6310 HEALTH PARKWAY, SUITE 110, LAKEWOOD RANCH, FL 34202-5177
(941) 907-8174
(941) 907-8177

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME89315
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD4440
RAIL ROAD MEDICARE
FL
Enumeration date
04/25/2007
Last updated
11/14/2008
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