# B & T MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043580111
- **Authorized official:** VIVIANA SANTANA (BILLING COORDINATOR)
- **Authorized official phone:** (813) 644-6991

## Contact information

- **Practice address:** 5301 N HABANA AVE, SUITE 1, TAMPA, FL 33614-6890
- **Practice address phone:** (813) 644-6991
- **Mailing address:** 988 E OSCEOLA PKWY, KISSIMMEE, FL 34744-1615
- **Mailing address phone:** (407) 944-9191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 01/06/2012
