Organization
CLINICAL RHEUMATOLOGIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LEE CLAY CLAY D.O. (MANAGING PARTNER)
(813) 908-5658
Entity
Organization
Contact information
Practice address
8322 N HABANA AVE, TAMPA, FL 33614-2819
(813) 908-5658
(813) 908-5067
Mailing address
8322 N HABANA AVE, TAMPA, FL 33614-2819
(813) 908-5658
(813) 908-5067
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OS0007192
FL
Other
Enumeration date
11/14/2011
Last updated
06/24/2012
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