Organization
STATMED QUICK QUALITY CLINIC AT NORTH PINELLAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MULLER PA-C (PRESIDENT)
(727) 726-1962
Entity
Organization
Contact information
Practice address
27001 US HIGHWAY 19 N STE 1033B, CLEARWATER, FL 33761-3407
(727) 726-1962
(727) 726-1606
Mailing address
27001 US HIGHWAY 19 N STE 1033B, CLEARWATER, FL 33761-3407
(727) 726-1962
(727) 726-1606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0083573
FL
363AM0700X
Medical Physician Assistant
PA9101634
FL
Other
Enumeration date
12/14/2007
Last updated
05/01/2018
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