PETER A DONELAN MD PA
Osteopathic Medicine at Fletcher Ave, Tampa, FL

License number
Florida ME0035372
Category
Osteopathic Medicine
Type
Procedural Dermatology
Owner
Name: DR. PETER A DONELAN MD PA
Title: OWNER
Phone: (813) 972-1229
Address
Address
3000 E Fletcher Ave SUITE 200, Tampa, FL 33613
National Provider ID: 1174702989
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER A. DONELAN M.D., PA

3000 E Fletcher Ave SUITE 200, Tampa, FL 33613

Industry:
Medical Doctor's Office
Registration:
Dec 18, 1992
State ID:
P92000013105
Business type:
Florida Profit Corporation
President, Director:
Peter A Donelan (President, Director), 3000 E Fletcher Ave SUITE 200, Tampa, FL 33613 (Physical)
Agent:
Peter Donelan,3000 E Fletcher Ave SUITE 200, Tampa, FL 33613 (Physical)
EIN:
59-3155217

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