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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