Organization
EDWARD KOFI LARTEVI MD PMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LARTEVI M.D. (OWNER)
(727) 507-3606
Entity
Organization
Contact information
Practice address
901 E SUNFLOWER RD, CLEVELAND, MS 38732-2833
(662) 846-2505
Mailing address
18167 US HIGHWAY 19 N, SUITE 285, CLEARWATER, FL 33764-3528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14217
MS
Other
Enumeration date
04/04/2008
Last updated
04/08/2008
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