MITCHELL CHECKVER DO PA
Ambulatory Health at Dale Mabry Hwy, Tampa, FL

License number
Florida 0S4309
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MS. JENNIFER L CONNELLY
Title: OFFICE MANAGER
Phone: (813) 933-2841
Address
Address
7211 N Dale Mabry Hwy SUITE 100, Tampa, FL 33614
National Provider ID: 1831408954
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MITCHELL CHECKVER D.O., PA

7211 N Dl Mabry Hwy #100, Tampa, FL 33614

Registration:
Jan 19, 1989
State ID:
K59238
Business type:
Florida Profit Corporation
President, Secretary:
Mitchell Checkver (President, Secretary), 7211 N Dl Mabry Hwy, Tampa, FL 33614 (Physical)
Agent:
Checkver, Mitchell,7211 N Dl Mabry Hwy SUITE 100, Tampa, FL 33614 (Physical)
EIN:
59-2962653

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