JOSEPH W SLATTERY III MD PA
Psychiatric at Wickham Rd, Melbourne, FL

License number
Florida ME63360
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Florida ME63360
Category
Psychiatric
Type
Pain Medicine
Owner
Name: MRS. BRETT MEEHAN
Title: OFFICE MANAGER
Phone: (321) 952-9993
Address
Address
630 S Wickham Rd SUITE 101, Melbourne, FL 32904
National Provider ID: 1578873709
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Joseph W. Slattery III, M.D., PA

4101 Snowy Egret Dr, Melbourne, FL 32904

Status:
Inactive
Registration:
Jan 26, 1993
State ID:
P93000007348
Business type:
Domestic for Profit Corporation
President:
Joseph W. Slattery President, inactive
Agent:
Corporation Information Services, Inc

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