# FLORIDA MEDICAL CLINIC, LLC

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

## Provider details

- **NPI number:** 1649940933
- **Legal business name:** FLORIDA MEDICAL CLINIC, LLC
- **Authorized official:** JOE DELATORRE (CEO)
- **Authorized official phone:** (813) 780-8440

## Contact information

- **Practice address:** 2352 BRUCE B DOWNS BLVD STE 102, WESLEY CHAPEL, FL 33544-9203
- **Practice address phone:** (813) 979-0440
- **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:** 09/17/2021
- **Last updated:** 09/17/2021