Organization
FLORIDA MEDICAL CLINIC LLC
Active
Parent organization
FLORIDA MEDICAL CLINIC, LLC
Other names
Florida Medical Clinic Eye Center LOL
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA MEDICAL CLINIC, LLC
Authorized official
JOE DELATORRE (CEO)
(813) 780-8774
Entity
Organization
Contact information
Practice address
2100 VIA BELLA BLVD STE 105, LAND O LAKES, FL 34639-5429
(813) 972-4444
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
03/20/2020
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