MIGUEL E TREVINO MD PA
Osteopathic Medicine at Fort Harrison Ave, Clearwater, FL

License number
Florida ME0048086
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MIGUEL E TREVINO MD PA
Title: PRESIDENT
Phone: (727) 584-8777
Address
Address
1573 S Fort Harrison Ave, Clearwater, FL 33756
National Provider ID: 1316975907
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Miguel E. Trevino, M.D., PA

Largo, FL  -  Clearwater, FL

Registration:
Oct 9, 2002
Addresses:
360 Clearwater Largo Rd N, Largo, FL 33770
1573 S Ft Harrison Ave, Clearwater, FL 33756
State ID:
P02000109002
Business type:
Domestic for Profit Corporation
Director:
Miguel E. Trevino (Director)
Agent:
Karen S. Keaton

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