Organization

Carlos A Labrador Mdpa

Non-Pharmacy Dispensing Site in St Petersburg, FL(View on Map)

Legal Business Name

Carlos A Labrador Mdpa

NPI Number

1427816313

NPI Type

Organization

Enumeration Date

03/06/2024

Specialties

(Taxonomies)

Code

332900000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

6501 CITY WEST PKWY
2191 9TH AVE N STE 220

City

Eden Prairie
St Petersburg

State

MN
FL

Postal Code

55344-3248
33713-7148

Country

US
US

Telephone Number

(952) 653-2565
(727) 327-9667

Authorized Official

Name

Carlos Labrador

Title or Position

STD/PD

Telephone Number

(727) 381-8006

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/06/2024

Provider Address

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