COMMUNITY PHYSICIANS OF NORTH PORT PA
Osteopathic Medicine at Tamiami Trl, Venice, FL

License number
Florida OS7878
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida ME 0066832
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: JAMIE S WHIDDEN
Title: OFFICE MANAGER
Phone: (941) 423-5053
Address
Address
15131 Tamiami Trl, Venice, FL 34287
National Provider ID: 1871633040
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Community Physicians of North Port, PA

Venice, FL

Registration:
Aug 29, 2005
Addresses:
15131 Tamiami Trl North Prt, Venice, FL 34287
15121 Tamiami Trl, Venice, FL 34287
15131 Tamiami Trl, Venice, FL 34287
State ID:
P05000120015
Business type:
Domestic for Profit Corporation
Treasurer, Secretarys:
Juan M. Masi (President),Larisa Meleks (Treasurer, Secretary)

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