Organization
FLORIDA MEDICAL CLINIC LLC
Active
Parent organization
FLORIDA MEDICAL CLINIC LLC
Other names
Florida Medical Clinic Eye Center TPA
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
13602 N 46TH ST, TAMPA, FL 33613-4931
(813) 972-4444
(813) 979-1600
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO5641
FL
Other
Enumeration date
11/19/2015
Last updated
03/19/2020
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