Organization
FLORIDA MEDICAL CLINIC LLC
Active
Parent organization
FLORIDA MEDICAL CLINIC LLC
Other names
Florida Medical Clinic Eye Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA MEDICAL CLINIC LLC
Authorized official
JOE DELATORRE (CEO)
(813) 780-8440
Entity
Organization
Contact information
Practice address
38101 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 782-5587
(813) 355-5049
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO2350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621212300
—
FL
Enumeration date
12/05/2006
Last updated
03/20/2020
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