Organization
INDIAN ROCKS MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARA L VANDERGRAFF (OFFICE MANAGER)
(727) 593-8700
Entity
Organization
Contact information
Practice address
12685 ULMERTON RD, LARGO, FL 33774-3603
(727) 593-8700
(727) 593-8701
Mailing address
12685 ULMERTON RD, LARGO, FL 33774-3603
(727) 593-8700
(727) 593-8701
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OS0007369
FL
Other
Enumeration date
07/01/2005
Last updated
08/22/2020
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