Organization
US COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN F. CRONIN (CORPSMAN)
(727) 502-1586
Entity
Organization
Contact information
Practice address
600 8TH AVE SE, ST PETERSBURG, FL 33701-5030
(727) 502-1586
Mailing address
600 8TH AVE SE, ST PETERSBURG, FL 33701-5030
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
06/27/2008
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