Organization
FANSLER ANTERIOR SPINAL ACCESS PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD F FANSLER M.D. (SOLE MBR)
(727) 584-9500
Entity
Organization
Contact information
Practice address
12955 SEMINOLE BLVD, LARGO, FL 33778-2399
(727) 584-9500
(727) 584-9502
Mailing address
12955 SEMINOLE BLVD, LARGO, FL 33778-2399
(727) 584-9500
(727) 584-9502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME67619
FL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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