Organization
FLORIDA FAMILY PRIMARY CARE CENTERS OF TAMPA, LLC
Active
Other names
CLINICAL CARE MEDICAL CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE D SUAREZ (CMO)
(305) 534-0076
Entity
Organization
Contact information
Practice address
6245 66TH ST N, PINELLAS PARK, FL 33781-5025
(727) 873-3891
Mailing address
1400 NW 107TH AVE STE 500, SWEETWATER, FL 33172-2746
(305) 677-3957
(844) 742-6552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/16/2021
Last updated
10/30/2023
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