Organization
JOSEPH W SLATTERY III MD PA
Active
Other names
Injury Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRETT MEEHAN (OFFICE MANAGER)
(321) 952-9993
Entity
Organization
Contact information
Practice address
630 S WICKHAM RD, SUITE 101, WEST MELBOURNE, FL 32904-1428
(321) 952-9993
Mailing address
630 S WICKHAM RD, SUITE 101, WEST MELBOURNE, FL 32904-1428
(321) 952-9993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME63360
FL
208VP0000X
Pain Medicine Physician
Primary
ME63360
FL
Other
Enumeration date
10/21/2010
Last updated
12/17/2010
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