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Organization

ORLICK & KASPER , MDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA PIERCE (BILLING/FRONT OFFICE MANAGER)
(727) 525-3649
Entity
Organization

Contact information

Practice address
5800 49TH ST N, SUITE S-109, ST PETERSBURG, FL 33709-2146
(727) 522-1115
(727) 522-0018
Mailing address
5800 49TH ST N, SUITE S-109, ST PETERSBURG, FL 33709-2146
(727) 522-1115
(727) 522-0018

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
267330400
FL
01
34691
BLUE SHIELD GROUP NUMBER
FL
Enumeration date
08/23/2005
Last updated
10/21/2021
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