RODERICK M URBANIAK, M.D., P.A.
Medical Practice at Lakeview Rd, Clearwater, FL

License number
Florida 4301083724
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: MS. GINGER LYNN WIERSMA 6162184495
Title: OFFICE MANAGER
Phone: (616) 218-4495
Address
Address
609 Lakeview Rd, Clearwater, FL 33756
National Provider ID: 1942640719
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Roderick M Urbaniak M.D., PA

Clearwater, FL  -  Saint Petersburg, FL

Registration:
Apr 25, 2013
Addresses:
609 Lakeview Rd, Clearwater, FL 33756
7855 38 Ave N, Saint Petersburg, FL 33710
State ID:
P13000037216
Business type:
Domestic for Profit Corporation
Director, President, Secretary, Treasurer, Vice President:
Roderick Urbaniak (Director, President, Secretary, Treasurer, Vice President)
Agent:
Hershkowitz & Kunitzer, Pa

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