JOHN B. DECOSMO,III, D.O., P.A.
Ambulatory Health at 4 St, Saint Petersburg, FL

License number
Florida OS5534
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. JOHN B DECOSMO DO
Title: PRESIDENT
Phone: (727) 498-6488
Address
Address
4800 4Th St N, Saint Petersburg, FL 33703
National Provider ID: 1831474303
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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John B. Decosmo, III, D.O., PA

Saint Petersburg, FL

Registration:
Jul 24, 1992
Addresses:
4800 4 St N, Saint Petersburg, FL 33703
4285 13 Way NE, Saint Petersburg, FL 33703
State ID:
V53440
Business type:
Domestic for Profit Corporation
President:
John B. Decosmo (President)

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