RAG MEDICAL CLINIC LLC is an addiction medicine internal medicine in Tampa, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. RAG MEDICAL CLINIC LLC NPI is 1528624053. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Phoenix Medical Clinic.
The provider's business location address is:
6408 N ARMENIA AVE STE B-1
TAMPA, FL
ZIP 33604-770
Phone: (813) 352-8305
The provider's authorized official is Ricardo A Gomez Fernandez .
The authorized official title is Administrator and has the following contact phone number (813) 352-8305.
The CLIA number assigned to this NPI record is 10D2170099 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/9/2019 and was last updated on 10/16/2019.