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Organization
OHI WEST MEDICAL GROUP II LLC
Active
Organization
OHI WEST MEDICAL GROUP II LLC
Active
Other names
Florida Medical Clinic Orlando Health Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DELATORRE (CEO)
(813) 780-8440
Entity
Organization
Contact information
Practice address
17401 COMMERCE PARK BLVD STE 108, TAMPA, FL 33647-3507
(813) 782-8311
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/26/2024
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