Mciver Urological Clinic Pathology

NPI #1881881159 in Leesburg, Florida

Provider Information

NPI Number
1881881159
Entity Type
Organization
Organization Name
Mciver Urological Clinic Pathology
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Oct 1, 2007
Last Updated
Oct 1, 2007

Practice Location

Address
1314 SUMTER ST
Address 2
SUITE 110
State
Florida
ZIP Code
34748-6385
Phone
(904) 355-6583

Authorized Official

Name
JOHN R WHITTAKER, M.D.
Title
PRESIDENT
Phone
(904) 355-6583

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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