Organization
SKYE CONSULTORIO MEDICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TATE (CEO)
(334) 233-8283
Entity
Organization
Contact information
Practice address
3813 ROSS CLARK CIR STE 300, DOTHAN, AL 36303-2881
(334) 479-0505
Mailing address
1107 N EASTERN BLVD, MONTGOMERY, AL 36117-2290
(334) 647-1444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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