ED MEDICAL THERAPY CENTER INC. NPI 1790060333

NPI Information

ED MEDICAL THERAPY CENTER, 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 ED MEDICAL THERAPY CENTER, INC. NPI is 1790060333. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Ed Medical Therapy Center, Inc..

The provider's business location address is:

4311 W WATERS AVE
SUIT #205
TAMPA, FL
ZIP 33614
Phone: (813) 407-1591

The provider's authorized official is Janis Gomez .
The authorized official title is President and has the following contact phone number (813) 407-1591.

The enumeration date for this NPI number is 10/14/2011 and was last updated on 5/5/2015.

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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