Organization
HOLY CROSS MEDICAL CENTER, LLC
Active
Other names
Dacona Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ESTRELLA GONZALEZ (CEO)
(813) 588-3342
Entity
Organization
Contact information
Practice address
4109 N ARMENIA AVE STE A, TAMPA, FL 33607-6411
(813) 588-3342
(813) 588-3602
Mailing address
4109 N ARMENIA AVE STE A, TAMPA, FL 33607-6411
(813) 588-3342
(813) 588-3602
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111242300
—
FL
05
—
120219100
—
FL
Enumeration date
03/05/2021
Last updated
12/31/2024
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