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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

NPI Number 1003036237
LBN Legal business name FLORIDA MEDICAL CLINIC, LLC
Authorized official JOE DELATORRE - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/30/2007
Last updated 02/21/2020 - About 6 years ago
Identifiers
FL Other 800020546 LICENSE
FL Other 690006221 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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