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Organization
RENAISSANCE MEDICAL CENTER CORP
Active
Organization
RENAISSANCE MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMILCAR M LOMINCHAR MD (MD/OWNER)
(813) 440-4420
Entity
Organization
Contact information
Practice address
3832 W HUMPHREY ST, TAMPA, FL 33614-1955
(813) 440-4420
(813) 502-0290
Mailing address
3832 W HUMPHREY ST, TAMPA, FL 33614-1955
(813) 440-4420
(813) 502-0290
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
ME125313
FL
Other
Enumeration date
11/11/2016
Last updated
06/05/2023
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