MICHAEL WAHL MD PA
Radiology at Lakeshore Blvd, Port Richey, FL

License number
Florida ME62494
Category
Radiology
Type
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Owner
Name: DR. MICHAEL J WAHL MD
Title: PRESIDENT
Phone: (727) 869-9300
Address
Address
13910 Lakeshore Blvd STE 140, Port Richey, FL 34667
National Provider ID: 1144415126
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Michael Wahl, M.D., PA

Port Richey, FL  -  Tarpon Springs, FL

Industry:
Medical Doctor's Office, Thoracic Surgery, Surgeons
Doing business as:
Michael Wahl MD
Registration:
Oct 7, 1994
Phone:
(727) 869-9300 (Phone)
Addresses:
13910 Lakeshore Blvd, Port Richey, FL 34667
27 E Orange St, Tarpon Springs, FL 34689
State ID:
P94000074713
Business type:
Domestic for Profit Corporation
Director:
Michael J. Wahl (Director)
Agent:
Mark S. Dickens

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