Kolettis Krew LLC

NPI #1457533762 in Clearwater, Florida

Provider Information

NPI Number: 1457533762
Entity Type: Organization
Organization Name: Kolettis Krew LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 28, 2007
Last Updated: Mar 24, 2016

Practice Location

Address: 701 N. HERCULES AVE
Address 2: STE B
City: Clearwater
State: Florida
ZIP Code: 33765-2029
Phone: (727) 738-8410

Authorized Official

Name: DR. ELIAS M KOLETTIS, D.O.
Title: PHYSICIAN
Phone: (727) 738-8410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Internal Medicine	207R00000X	Primary

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