Organization
SOUTHERN PINELLAS SURGICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD F FANSLER MD (PRESIDENT)
(727) 584-9500
Entity
Organization
Contact information
Practice address
12955 SEMINOLE BLVD, LARGO, FL 33778-2399
(727) 584-9500
(727) 584-9502
Mailing address
12955 SEMINOLE BLVD, LARGO, FL 33778-2399
(727) 584-9500
(727) 584-9502
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
03/28/2008
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