TOWN N COUNTRY MEDICAL CARE LLC NPI 1356926240

NPI Information

NPI: 1356926240
Provider Name: TOWN N COUNTRY MEDICAL CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2220893

Address:
6107 MEMORIAL HWY STE A
TAMPA, FL
ZIP 33615
Phone: (813) 514-2328
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TOWN N COUNTRY MEDICAL CARE LLC is a primary care clinic center in Tampa, FL. TOWN N COUNTRY MEDICAL CARE LLC NPI is 1356926240. The provider is registered as an organization entity type.

The provider's business location address is:

6107 MEMORIAL HWY STE A
TAMPA, FL
ZIP 33615-564
Phone: (813) 514-2328
Fax: (813) 514-2485

The provider's authorized official is Shital Mehta .
The authorized official title is Owner and has the following contact phone number (813) 486-6442.

The CLIA number assigned to this NPI record is 10D2220893 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2021 and was last updated on 3/12/2021.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1861460610	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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