# FLORIDA MEDICAL CLINIC, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLORIDA MEDICAL CLINIC, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285302380
- **Legal business name:** FLORIDA MEDICAL CLINIC, LLC
- **Authorized official:** JOE DELATORRE (CEO)
- **Authorized official phone:** (813) 780-8440

## Contact information

- **Practice address:** 3860 SUN CITY CENTER BLVD, RUSKIN, FL 33573-6806
- **Practice address phone:** (813) 633-1980
- **Mailing address:** 38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
- **Mailing address phone:** (352) 567-0188
- **Mailing address fax:** (813) 355-5101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2021
- **Last updated:** 09/02/2021