ROBERTA M KILLEEN MD PA
Medical Laboratory at Us Highway 19, Tarpon Springs, FL

License number
Florida 800009658
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. ROBERTA M KILLEEN MD
Title: PRESIDENT
Phone: (727) 939-1584
Address
Address
2520 Us Highway 19, Tarpon Springs, FL 34691
National Provider ID: 1609039361
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Roberta M. Killeen, M.D., PA

2520 Us Hwy 19, Tarpon Springs, FL 34691

Status:
Inactive
Registration:
Jul 10, 1995
State ID:
P95000053956
Business type:
Domestic for Profit Corporation
President, Treasurer, Secretary:
Roberta M. Killeen President, Treasurer, Secretary, inactive

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