Organization
MEDI-TOX LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER MILTENBERGER MD (MEDICAL DIRECTOR)
(407) 322-5923
Entity
Organization
Contact information
Practice address
766 N SUN DR, SUITE 1060, LAKE MARY, FL 32746-2552
(407) 322-5923
(407) 333-2358
Mailing address
766 N SUN DR, SUITE 1060, LAKE MARY, FL 32746-2552
(407) 322-5923
(407) 333-2358
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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