Organization
CORE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD EMMANUILIDIS (CEO)
(813) 517-8494
Entity
Organization
Contact information
Practice address
6601 MEMORIAL HWY STE 200, TAMPA, FL 33615-4501
(813) 517-8400
Mailing address
6601 MEMORIAL HWY STE 200, TAMPA, FL 33615-4501
(813) 517-8400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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