Organization
FITZ TROPICS MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GALLIVAN (CREDENTIALING SPECIALIST)
(727) 350-1089
Entity
Organization
Contact information
Practice address
12464 INDIAN ROCKS RD, LARGO, FL 33774-3005
(727) 596-5446
Mailing address
311 PARK PLACE BLVD, SUITE 500, CLEARWATER, FL 33759-4904
(727) 350-1089
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS7067
FL
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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