Organization
VISUM MANAGEMENT, LLC
Active
Other names
PHYSICIAN CARE GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC K. GROTEKE DC (MEMBER)
(727) 474-9729
Entity
Organization
Contact information
Practice address
3006 GULF TO BAY BLVD, CLEARWATER, FL 33759-4313
(727) 474-9729
(727) 474-9947
Mailing address
3006 GULF TO BAY BLVD, CLEARWATER, FL 33759-4313
(727) 474-9729
(727) 474-9947
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
FL
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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