Organization
STATMED QUICK QUALITY OF NORTH PINELLAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MULLER PA-C (PRESIDENT)
(727) 726-1962
Entity
Organization
Contact information
Practice address
1033 W BAY DR, LARGO, FL 33770-3248
(727) 386-4114
(727) 386-4115
Mailing address
27001 US HIGHWAY 19 N STE 1033B, CLEARWATER, FL 33761-3407
(727) 726-1962
(727) 726-1606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0083573
FL
363AM0700X
Medical Physician Assistant
PA9101634
FL
Other
Enumeration date
02/11/2010
Last updated
04/24/2018
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