# FLORIDA MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FMC Family Med DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912484452
- **Authorized official:** JOE DELATORRE (CEO)
- **Authorized official phone:** (813) 780-8440

## Contact information

- **Practice address:** 2100 VIA BELLA BLVD STE 204, LAND O LAKES, FL 34639-5429
- **Practice address phone:** (813) 751-3636
- **Practice address fax:** (813) 377-1678
- **Mailing address:** 38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
- **Mailing address phone:** (813) 780-1255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | FL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 07/27/2018
- **Last updated:** 03/20/2020