Organization
ST CLOUD GASTROENTEROLOGY PLLC
Active
Organization
ST CLOUD GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL FLEITES M.D. (OWNER)
(407) 892-8925
Entity
Organization
Contact information
Practice address
2801 13TH STREET, SAINT CLOUD, FL 34769
(407) 892-8925
(407) 892-8926
Mailing address
2801 13TH STREET, SAINT CLOUD, FL 34769-4134
(407) 892-8925
(407) 892-8926
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME35796
FL
Other
Enumeration date
02/26/2014
Last updated
09/04/2018
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