Organization
UNDERSEA OXYGEN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JOSEPH DITURI PHD(C) (PRESIDENT)
(813) 533-7095
Entity
Organization
Contact information
Practice address
701 N WEST SHORE BLVD FL 3, TAMPA, FL 33609-1122
(813) 533-7093
Mailing address
701 N WEST SHORE BLVD FL 3, TAMPA, FL 33609-1122
(813) 533-7093
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
IBUM-2343-0010
FL
Other
Enumeration date
10/24/2017
Last updated
01/03/2018
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