PALMS PATHOLOGY PA
Medical Laboratory in Tampa, FL

License number
Florida 8000021745
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: FARUK AYDIN M.D.
Title: MEDICAL DIRECTOR
Phone: (813) 649-8026
Address
Address
1209 Tech Blvd Suite #106, Tampa, FL 33619
National Provider ID: 1962546515
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Palms Pathology PA

Tampa, FL

Registration:
Sep 19, 2005
Addresses:
1209 Tech Blvd, Tampa, FL 33619
9225 Bay Plz Blvd, Tampa, FL 33619
State ID:
P05000128302
Business type:
Domestic for Profit Corporation
Director:
Aydin Faruk (Director)

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