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Organization

CLYDE C. VANTERPOOL, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLYDE CALENSO VANTERPOOL (OWNER)
(863) 991-9060
Entity
Organization

Contact information

Practice address
6801 US HIGHWAY 27 N STE C4, SEBRING, FL 33870-1000
(863) 991-9060
(863) 991-9069
Mailing address
PO BOX 9034, SEBRING, FL 33872-0134
(863) 991-9060
(863) 991-9069

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
377470800
FL
Enumeration date
01/19/2016
Last updated
01/21/2025
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