Organization
MEDCENTRAL CORPORATION
Active
Other names
Causeway Medical Clinic, Horizon Multi-Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DENCY RIVAS (OWNER)
(813) 628-4400
Entity
Organization
Contact information
Practice address
7108 CAUSEWAY BLVD, TAMPA, FL 33619-6364
(813) 628-4400
(813) 628-4500
Mailing address
7108 CAUSEWAY BLVD, TAMPA, FL 33619-6364
(813) 628-4400
(813) 628-4500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
ME0042771
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061216200
—
FL
Enumeration date
05/24/2007
Last updated
08/06/2020
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