Ridge Pathology Consultants
NPI #1730161068 in Winter Haven, Florida
Provider Information
- NPI Number
- 1730161068
- Entity Type
- Organization
- Organization Name
- Ridge Pathology Consultants
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Enumeration Date
- Nov 14, 2005
- Last Updated
- Nov 3, 2014
Practice Location
- Address
- 200 AVENUE F NE
- Address 2
- DEPT. OF PATHOLOGY
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33881-4131
- Phone
- (863) 293-1121
Authorized Official
- Name
- LARRY D. BOTZ, M.D.
- Title
- PRESIDENT
- Phone
- (863) 293-1121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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