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Organization

SPECIALIST DOCTORS GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAWN CHAUDHRY (CFO)
(813) 362-8330
Entity
Organization

Contact information

Practice address
1910 W REYNOLDS ST, PLANT CITY, FL 33563-4742
(813) 754-3668
Mailing address
PO BOX 770, LITHIA, FL 33547-0770

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
08/29/2013
Last updated
08/29/2013
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