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Organization

ADAPTIVE MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER MATTHEW DUFFY PA-C (OWNER)
(239) 209-1415
Entity
Organization

Contact information

Practice address
2123 GROVE ST, SARASOTA, FL 34239-4622
(239) 209-1415
Mailing address
2123 GROVE ST, SARASOTA, FL 34239-4622
(239) 209-1415

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
11/03/2020
Last updated
11/03/2020
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