Organization
CARLOS A LABRADOR MDPA
Active
Parent organization
LABRADOR CLINIC, LLC
Other names
Labrador Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LABRADOR CLINIC, LLC
Authorized official
CARLOS A LABRADOR (MDPA)
(727) 381-8006
Entity
Organization
Contact information
Practice address
2200 56TH ST S, GULFPORT, FL 33707-5004
(952) 653-2525
Mailing address
2200 56TH ST S, GULFPORT, FL 33707-5004
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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