FLORIDA MEDICAL CLINIC LLC NPI 1528738663

NPI Information

NPI: 1528738663
Provider Name: FLORIDA MEDICAL CLINIC, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2227313

Address:
6037 WINTHROP COMMERCE AVE STE 201
RIVERVIEW, FL
ZIP 33578
Phone: (813) 677-8418
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FLORIDA MEDICAL CLINIC, LLC is a multi-specialty clinic center in Riverview, FL. FLORIDA MEDICAL CLINIC, LLC NPI is 1528738663. The provider is registered as an organization entity type.

The provider's business location address is:

6037 WINTHROP COMMERCE AVE STE 201
RIVERVIEW, FL
ZIP 33578-694
Phone: (813) 677-8418

The provider's authorized official is Joe Delatorre .
The authorized official title is Ceo and has the following contact phone number (813) 780-8440.

The CLIA number assigned to this NPI record is 10D2227313 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2021 and was last updated on 9/20/2021.

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	261QM1300X	Clinic/Center	Multi-Specialty			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: 5/5/2024

NPI Synchronization or Removal

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