# FLORIDA MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Medical Clinic DME LOL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023414919
- **Authorized official:** JOE DELATORRE (CEO)
- **Authorized official phone:** (813) 780-8774

## Contact information

- **Practice address:** 2100 VIA BELLA BLVD, SUITE 103, LAND O LAKES, FL 34639-5429
- **Practice address phone:** (813) 712-5700
- **Practice address fax:** (813) 355-5060
- **Mailing address:** 38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
- **Mailing address phone:** (813) 528-4975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2014
- **Last updated:** 03/20/2020