Organization
MAK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL PANTELIDES (MEMBER)
(727) 459-1479
Entity
Organization
Contact information
Practice address
6421 N FLORIDA AVE STE D-1362, TAMPA, FL 33604-6007
(727) 459-1479
Mailing address
6421 N FLORIDA AVE STE D-1362, TAMPA, FL 33604-6007
(727) 459-1479
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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