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Contact Information

FLORIDA MEDICAL CLINIC, LLC
17401 COMMERCE PARK BLVD STE 108
TAMPA, FL33647-3507
 Phone: 813-782-8311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for FLORIDA MEDICAL CLINIC LLC · (Female)

NPI # 1003036237
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2007
Last updated 02/21/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Other 800020546 LICENSE
  • FL Other 690006221 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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