Organization
RMG IVF/ SURGERY CENTER LLC
Active
Organization
RMG IVF/ SURGERY CENTER LLC
Active
Other names
RMG IVF/ Surgery Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL TARANTINO JR. M.D. (PRESIDENT)
(813) 989-0120
Entity
Organization
Contact information
Practice address
5249 E FLETCHER AVE, TAMPA, FL 33617-1126
(813) 989-0120
(813) 989-0268
Mailing address
5249 E FLETCHER AVE, TAMPA, FL 33617-1126
(813) 989-0120
(813) 989-0268
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
1193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D1017148
CLIA
FL
01
—
6F9
BCBS NUMBER
FL
Enumeration date
09/14/2005
Last updated
01/25/2022
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