Organization
PREVENTION 305, INC
Active
Organization
PREVENTION 305, INC
Active
Other names
PREVENTION ACCESS CAMPAIGN
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WHITESIDE (CHIEF EXECUTIVE OFFICER)
(305) 812-8380
Entity
Organization
Contact information
Practice address
3317 W GANDY BLVD, TAMPA, FL 33611-2931
(813) 902-8600
(813) 902-8800
Mailing address
407 LINCOLN RD STE 6D, MIAMI BEACH, FL 33139-3023
(866) 773-7305
(352) 681-4788
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
01/18/2024
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