Organization
KEYSTONE HOSPITALIST SERVICES OF GULFPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN C ADAMS (PRESIDENT)
(800) 669-2640
Entity
Organization
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7000
Mailing address
1201 W SWANN AVE, TAMPA, FL 33606-2639
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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