FLORIDA MEDICAL CLINIC LLC NPI 1750456539

NPI Information

NPI: 1750456539
Provider Name: FLORIDA MEDICAL CLINIC, LLC

Doing Business As: FLORIDA MEDICAL CLINIC AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
14547 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33613
Phone: (813) 978-1494
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FLORIDA MEDICAL CLINIC, LLC is an ambulatory surgical clinic center in Tampa, FL. FLORIDA MEDICAL CLINIC, LLC NPI is 1750456539. The provider is registered as an organization entity type.
The provider Is Doing Business As Florida Medical Clinic Ambulatory Surgery Center.

The provider's business location address is:

14547 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33613-709
Phone: (813) 978-1494
Fax: (813) 615-0296

The provider's authorized official is Joe Delatorre .
The authorized official title is Ceo and has the following contact phone number (813) 780-8440.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 3/25/2020.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	1189	FLORIDA	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	1189	OTHER	FLORIDA	LICENSE #
2	075623700	MEDICAID	FLORIDA
3	490002795	OTHER	FLORIDA	RR MEDICARE

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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