Organization
FAMILY WELLNESS CENTER OF TAMPA PA
Active
Other names
LaserMedic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD F KAY MD (PRESIDENT)
(813) 994-0611
Entity
Organization
Contact information
Practice address
2734 WINDGUARD CIR, SUITE 102, WESLEY CHAPEL, FL 33544-7362
(813) 994-0611
(813) 994-0085
Mailing address
2734 WINDGUARD CIR, SUITE 102, WESLEY CHAPEL, FL 33544-7362
(813) 994-0611
(813) 994-0085
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME88978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009565000
—
FL
05
—
009566500
—
FL
Enumeration date
08/13/2008
Last updated
07/22/2014
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