# FLORIDA MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLORIDA MEDICAL CLINIC, LLC
- **Other names:** FMC Fam Med DME Tampa Palms
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972241305
- **Legal business name:** FLORIDA MEDICAL CLINIC, LLC
- **Authorized official:** JOE DELATORRE (CEO)
- **Authorized official phone:** (813) 780-8440

## Contact information

- **Practice address:** 15285 AMBERLY DR, TAMPA, FL 33647-2155
- **Practice address phone:** (813) 979-6978
- **Practice address fax:** (813) 355-5981
- **Mailing address:** 38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
- **Mailing address phone:** (352) 567-0188
- **Mailing address fax:** (813) 355-5101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2022
- **Last updated:** 05/25/2022