Organization
OHI WEST MEDICAL GROUP II LLC
Active
Other names
Florida Medical Clinic Orlando Health Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DELATORRE (CEO)
(813) 780-8440
Entity
Organization
Contact information
Practice address
17401 COMMERCE PARK BLVD STE 108, TAMPA, FL 33647-3507
(813) 782-8311
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/26/2024
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