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Individual

MICHAEL S STURDIVENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1434 46TH ST S, SAINT PETERSBURG, FL 33711-2338
(727) 272-3817
Mailing address
1434 46TH ST S, SAINT PETERSBURG, FL 33711-2338
(727) 272-3817

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT5492
FL

Other

Enumeration date
12/11/2013
Last updated
12/14/2013
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