THEODORE J. MACHLER, JR., M.D., P.A.
Psychiatric at Crosswinds Dr, Saint Petersburg, FL

License number
Florida ME00012370
Category
Psychiatric
Type
Psychiatry
Owner
Name: MEREDITH MACHLER
Title: OFFICE MANAGER
Phone: (727) 381-5775
Address
Address
6740 Crosswinds Dr N STE B, Saint Petersburg, FL 33710
National Provider ID: 1164744173
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THEODORE J. MACHLER, JR., M.D., PA

6740 Crosswinds Dr N SUITE B, Saint Petersburg, FL 33710

Status:
Inactive
Inactive reason:
Cancel Adm Diss/rev
Registration:
Jan 8, 1980
Inactive since:
Oct 11, 2006
State ID:
650534
Business type:
Florida Profit Corporation
President, Directors:
Machler, Theodore J, Jr, 6740 Crosswinds Dr N, Saint Petersburg, FL 33710 (Physical),Theodore J. Machler (President, Director)
EIN:
59-1982226

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