Organization
PHYAMERICA HOSPITAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE J MASON MD (OWNER)
(941) 468-2719
Entity
Organization
Contact information
Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6705
(941) 468-2719
(941) 492-7184
Mailing address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6705
(941) 468-2719
(941) 492-7184
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME79271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 79271
LICENSE NUMBER
FL
Enumeration date
08/13/2009
Last updated
08/13/2009
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