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Organization

ICTM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD ERIC GOTS M.D., PH.D. (CEO)
(301) 466-9858
Entity
Organization

Contact information

Practice address
93 SW PALM COVE DR, PALM CITY, FL 34990-4318
(301) 466-9858
Mailing address
93 SW PALM COVE DR, PALM CITY, FL 34990-4318
(301) 466-9858

Taxonomy

Speciality
Code
Description
License number
State
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
Primary
D0015004
MD

Other

Enumeration date
08/05/2016
Last updated
08/05/2016
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