Specialist Doctors Group, Llc | |
1910 W Reynolds St Plant City FL 33563-4742 | |
(813) 754-3668 | |
Not Available |
Full Name | Specialist Doctors Group, Llc |
---|---|
Speciality | General Practice |
Location | 1910 W Reynolds St, Plant City, Florida |
Authorized Official Name and Position | Shawn Chaudhry (CFO) |
Authorized Official Contact | 8133628330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Specialist Doctors Group, Llc Po Box 770 Lithia FL 33547-0770 Ph: () - | Specialist Doctors Group, Llc 1910 W Reynolds St Plant City FL 33563-4742 Ph: (813) 754-3668 |
NPI Number | 1922432657 |
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Provider Enumeration Date | 08/29/2013 |
Last Update Date | 08/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922432657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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