Carlos a Labrador Mdpa

NPI #1700594223 in Gulfport, Florida

Provider Information

NPI Number
1700594223
Entity Type
Organization
Organization Name
Carlos a Labrador Mdpa
Subpart
Yes (part of a larger organization)
Parent Organization
LABRADOR CLINIC, LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Nov 14, 2022
Last Updated
Nov 14, 2022

Practice Location

Address
2200 56TH ST S
State
Florida
ZIP Code
33707-5004
Phone
(952) 653-2525

Authorized Official

Name
CARLOS A LABRADOR
Title
MDPA
Phone
(727) 381-8006

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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