RAFAEL BELTRAN MD PA
Psychiatric at 4 St, Saint Petersburg, FL

License number
Florida ME72310
Category
Psychiatric
Type
Psychiatry
Owner
Name: RAFAEL ALBERTO BELTRAN DURANGO MD
Title: OWNER
Phone: (727) 894-2341
Address
Address
3637 4Th St N SUITE 480, Saint Petersburg, FL 33704
National Provider ID: 1851483838
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAFAEL BELTRAN, M.D., PA

Saint Petersburg, FL

Industry:
Medical Doctor's Office
Registration:
May 12, 2003
Addresses:
3637 4 St North 480, Saint Petersburg, FL 33704 (Physical)
4777 Royal Plam Cir, Saint Petersburg, FL 33703 (Mailing)
3637 4 St N, Saint Petersburg, FL 33704
4777 Royal Palm Cir NE, Saint Petersburg, FL 33703
State ID:
P03000051880
Business type:
Florida Profit Corporation
Director:
Rafael M.d. Beltran (Director), 4777 Royal Palm Cir, Saint Petersburg, FL 33703 (Physical)
Agent:
Rafael Beltran,4777 Royal Palm Cir, Saint Petersburg, FL 33703 (Physical)
EIN:
16-1663774

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