Individual
DR. MARIA FLORENCIA EASTLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615
(864) 522-3700
(834) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
52408
SC
207L00000X
Anesthesiology Physician
Q2440
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2011
Last updated
09/14/2022
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