Organization
SUNCOAST VASCULAR & GENERAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R GELINAS D.O. (OWNER)
(352) 794-6191
Entity
Organization
Contact information
Practice address
11535 W EMERALD OAKS DR, CRYSTAL RIVER, FL 34428-2815
(352) 794-6191
(352) 794-6193
Mailing address
PO BOX 1085, CRYSTAL RIVER, FL 34423-1085
(352) 794-6191
(352) 794-6193
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
OS8292
FL
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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