Organization
RA MUSELLA MD FACS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI CHARLAND (BILLING SUPERVISOR)
(231) 638-1853
Entity
Organization
Contact information
Practice address
6600 66TH ST N, PINELLAS PARK, FL 33781
(231) 638-1853
(239) 790-5050
Mailing address
6600 66TH ST N, PINELLAS PARK, FL 33781
(231) 638-1853
(239) 790-5050
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0018297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047952700
—
FL
Enumeration date
02/13/2006
Last updated
05/21/2013
Update your record
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