Organization
P.V.C. MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ANTONIO PLASENCIA (OWNER)
(813) 873-9369
Entity
Organization
Contact information
Practice address
3260 W HILLSBOROUGH AVE, # 111, TAMPA, FL 33614-5902
(813) 873-9369
(813) 873-9386
Mailing address
3260 W HILLSBOROUGH AVE, # 111, TAMPA, FL 33614-5902
(813) 873-9369
(813) 873-9386
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6469
FL
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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