Organization
VANTAGE CLINICAL TRIALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A BUSSEY (OWNER)
(727) 510-9773
Entity
Organization
Contact information
Practice address
4730 N HABANA AVE STE 300, TAMPA, FL 33614-7148
(727) 510-9773
Mailing address
1717 87TH TER N, SAINT PETERSBURG, FL 33702-2148
(727) 510-9773
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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