Organization
WEST FLORIDA MULTISPECIALTY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEZABELL FIGUEROA (AUTHORIZED OFFICIAL)
(813) 630-3059
Entity
Organization
Contact information
Practice address
6702 W LINEBAUGH AVE, TAMPA, FL 33625-4953
(813) 630-3059
Mailing address
6702 W LINEBAUGH AVE, TAMPA, FL 33625-4953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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