CARILLON SPORTS AND FAMILY MEDICINE PA
Osteopathic Medicine at 28 St, Saint Petersburg, FL

License number
Florida ME80751
Category
Osteopathic Medicine
Type
Sports Medicine
Owner
Name: ADAM A BRUNSON MD
Title: PRESIDENT
Phone: (727) 561-4303
Address
Address
12225 28Th St N SUITE B, Saint Petersburg, FL 33716
National Provider ID: 1275730970
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CARILLON SPORTS AND FAMILY MEDICINE PA at bizstanding.com

Carillon Sports and Family Medicine, PA

Saint Petersburg, FL

Registration:
Oct 3, 2005
Addresses:
900 Carillon Pkwy, Saint Petersburg, FL 33716
12225 28 St N, Saint Petersburg, FL 33716
State ID:
P05000134851
Business type:
Domestic for Profit Corporation
Treasurer, Vice Presidents:
Adam A. Brunson (President, Secretary),Carlos R. Rodriguez Treasurer, Vice President, inactive

Osteopathic Medicine licenses in Florida










Other Doctors licenses in Florida