Silver Wings Independence at Home LLC
NPI #1407128234 in Pinellas Park, Florida
Provider Information
- NPI Number
- 1407128234
- Entity Type
- Organization
- Organization Name
- Silver Wings Independence at Home LLC
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Feb 9, 2012
- Last Updated
- Feb 9, 2012
Practice Location
- Address
- 6279 PARK BLVD N
- City
- Pinellas Park
- State
- Florida
- ZIP Code
- 33781-3239
- Phone
- (727) 548-1232
Authorized Official
- Name
- LAURENCE MILTON PETTY, M.D.
- Title
- PHYSICIAN
- Phone
- (727) 548-1232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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