Individual
MR. MONTEGO MCKINNON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 PASADENA SHORES DR, ST. PETERSBURG, FL 33707
(727) 341-7856
Mailing address
3220 6TH ST S, #203, ST PETERSBURG, FL 33705-7710
(727) 417-7652
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT 41368
FL
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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