Organization
FAMILY MEDICAL GROUP OF TAMPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN PEREZ (OWNER)
(813) 488-1414
Entity
Organization
Contact information
Practice address
8011 N HIMES AVE STE 4, TAMPA, FL 33614-2700
(813) 488-1414
(813) 488-1413
Mailing address
8011 N HIMES AVE STE 4, TAMPA, FL 33614-2700
(813) 488-1414
(813) 488-1413
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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