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Organization

DOCTORS WELLNES CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE PAUL LINKOUS PA-C (PRESIDENT)
(727) 330-7743
Entity
Organization

Contact information

Practice address
13133 66TH ST, LARGO, FL 33773-1812
(727) 330-7743
(727) 330-7745
Mailing address
13133 66TH ST, LARGO, FL 33773-1812
(727) 330-7743
(727) 330-7745

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101571
FL

Other

Enumeration date
10/20/2006
Last updated
06/21/2010
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