CAREATC-CITY OF TAMPA BRANDON NPI 1578015152

NPI Information

CAREATC-CITY OF TAMPA BRANDON is a primary care clinic center in Brandon, FL. CAREATC-CITY OF TAMPA BRANDON NPI is 1578015152. The provider is registered as an organization entity type.

The provider's business location address is:

413 W ROBERTSON ST
SUITE A
BRANDON, FL
ZIP 33511-014
Phone: (800) 993-8244

The provider's authorized official is Keith Gucwa .
The authorized official title is Dir Of Purchasing And Facilities and has the following contact phone number (918) 779-7416.

The CLIA number assigned to this NPI record is 10D2024075 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2016 and was last updated on 10/28/2016.

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:

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