IDITALYA 10 MEDICAL CENTER INC NPI 1447643291

NPI Information

NPI: 1447643291
Provider Name: IDITALYA 10 MEDICAL CENTER INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2093249

Address:
3430 W LAMBRIGHT ST STE 101
TAMPA, FL
ZIP 33614
Phone: (813) 877-4201
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IDITALYA 10 MEDICAL CENTER INC is a general practice in Tampa, FL. IDITALYA 10 MEDICAL CENTER INC NPI is 1447643291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3430 W LAMBRIGHT ST STE 101
TAMPA, FL
ZIP 33614-750
Phone: (813) 877-4201
Fax: (727) 498-0672

The provider's authorized official is Alfredo Fernandez .
The authorized official title is Owner and has the following contact phone number (813) 877-4201.

The CLIA number assigned to this NPI record is 10D2093249 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2015 and was last updated on 11/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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