WALTER E. AFIELD, MD, PA
Massage Therapy at Spruce St, Tampa, FL

License number
Florida 14023
Issued Date
Dec 2, 2003
Effective Date
Oct 29, 2014
Expiration Date
Aug 31, 2015
Category
Health Care
Type
Massage Establishment
Address
Address
4107 W Spruce St STE 100, Tampa, FL 33607
Phone
(813) 636-8811
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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WALTER E. AFIELD, M.D., PA

Tampa, FL

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Doing business as:
Afield, Walter E MD<br>Cypress Medical Group<br>Neuropsychiatric Institute<br>Npi
Inactive reason:
CANCEL ADM DISS/REV
Registration:
May 25, 1971
Inactive since:
Oct 11, 2007
Phone:
(813) 636-8811 (Phone)
Addresses:
4107 W Spruce St STE 100, Tampa, FL 33607 (Physical)
5820 W Cypress St, Tampa, FL 33607
State ID:
602840
Business type:
Florida Profit Corporation
President, Director:
Walter E Afield (President, Director), 4619 W Bay To Bay Blvd, Tampa, FL 33607 (Physical)
Agent:
Walter Afield,4107 W Spruce St STE 100, Tampa, FL 33607 (Physical)
EIN:
59-1356640

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