Organization
INJURY CARE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS F YCAZA D.O. (PHYSICIAN)
(813) 877-8177
Entity
Organization
Contact information
Practice address
829 W DR MARTIN LUTHER KING JR BLVD, SUITE 105, TAMPA, FL 33603-3309
(813) 877-8177
(813) 877-8277
Mailing address
829 W DR MARTIN LUTHER KING JR BLVD, SUITE 105, TAMPA, FL 33603-3309
(813) 877-8177
(813) 877-8277
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OS7473
FL
Other
Enumeration date
09/26/2007
Last updated
09/28/2012
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