Provider Demographics
NPI:1891010138
Name:DOCTOR GENERAL SERVICES INC.
Entity type:Organization
Organization Name:DOCTOR GENERAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:CASANAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-888-8902
Mailing Address - Street 1:7746 W HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4708
Mailing Address - Country:US
Mailing Address - Phone:813-888-8902
Mailing Address - Fax:813-888-8914
Practice Address - Street 1:7746 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4708
Practice Address - Country:US
Practice Address - Phone:813-888-8902
Practice Address - Fax:813-888-8914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM24523261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty