Organization
ROBERTA M KILLEEN MD PA
Active
Other names
Suncoast Pathology Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA M KILLEEN MD (PRESIDENT)
(727) 939-1584
Entity
Organization
Contact information
Practice address
2520 US HIGHWAY 19, HOLIDAY, FL 34691-3846
(727) 939-1584
Mailing address
2520 US HIGHWAY 19, HOLIDAY, FL 34691-3846
(727) 939-1584
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800009658
FL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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