Organization
FLORIDA PHYSICAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONJE STEVENS (ADM)
(727) 518-2977
Entity
Organization
Contact information
Practice address
5622 CENTRAL AVE, ST PETERSBURG, FL 33707-1718
(727) 345-7900
Mailing address
2200 W BAY DR, LARGO, FL 33770-1929
(727) 518-2977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
10/04/2007
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