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MEDERO MEDICAL OF TAMPA EAST LLC NPI 1104063569


NPI Information

NPI: 1104063569
Provider Name: MEDERO MEDICAL OF TAMPA EAST, LLC

Doing Business As: MEDERO MEDICAL TAMPA EAST

Classification: Preventive Medicine - 2083X0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
1109 SW 10TH ST
OCALA, FL
ZIP 34471
Phone: (352) 629-3433
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MEDERO MEDICAL OF TAMPA EAST, LLC is an occupational medicine preventive medicine in Ocala, FL. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. MEDERO MEDICAL OF TAMPA EAST, LLC NPI is 1104063569. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medero Medical Tampa East.

The provider's business location address is:

1109 SW 10TH ST
OCALA, FL
ZIP 34471-325
Phone: (352) 629-3433
Fax: (352) 629-6796

The provider's authorized official is Larry Mayfield .
The authorized official title is Administartor and has the following contact phone number (352) 629-3433.

The enumeration date for this NPI number is 1/7/2009 and was last updated on 1/7/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083X0100XPreventive MedicineOccupational Medicine14929FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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