Organization
P V C MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO RODRIGUEZ (PRESIDENT/OWNER)
(813) 901-9369
Entity
Organization
Contact information
Practice address
5011 W HILLSBOROUGH AVE, SUITE N, TAMPA, FL 33634-5309
(813) 901-9369
(813) 901-9368
Mailing address
5011 W HILLSBOROUGH AVE, SUITE N, TAMPA, FL 33634-5309
(813) 901-9369
(813) 901-9368
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
HCC 6469
FL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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