Organization
NOORANI MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH PRIMM (OFFICE MANAGER)
(813) 571-1111
Entity
Organization
Contact information
Practice address
10924 BLOOMINGDALE AVE, RIVERVIEW, FL 33578-3633
(813) 571-1111
(813) 571-1120
Mailing address
10924 BLOOMINGDALE AVE, RIVERVIEW, FL 33578-3633
(813) 571-1111
(813) 571-1120
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
36113183
FL
Other
Enumeration date
06/08/2012
Last updated
05/01/2018
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