Organization
DIABETES WELLNESS CLINICS OF TAMPA BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD HENRY DORSEY (PRESIDENT)
(813) 448-1055
Entity
Organization
Contact information
Practice address
3941 TAMPA RD, OLDSMAR, FL 34677-3104
(813) 448-1055
(813) 448-1057
Mailing address
3941 TAMPA RD, OLDSMAR, FL 34677-3104
(813) 448-1055
(813) 448-1057
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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