IDEAL MEDICAL CENTER OF TAMPA INC NPI 1598172090

NPI Information

IDEAL MEDICAL CENTER OF TAMPA INC is a general practice in Tampa, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee IDEAL MEDICAL CENTER OF TAMPA INC NPI is 1598172090. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6821 W HILLSBOROUGH AVE
UNIT 10-11
TAMPA, FL
ZIP 33634-003
Phone: (813) 609-3983

The provider's authorized official is Yamile Pupo .
The authorized official title is Owner and has the following contact phone number (813) 609-3983.

The CLIA number assigned to this NPI record is 10D2085060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2014 and was last updated on 3/13/2017.

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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