Organization
PERSONAL MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL SANTOS (OWNER)
(813) 935-1340
Entity
Organization
Contact information
Practice address
3911 W WATERS AVE STE 12, TAMPA, FL 33614-1950
(813) 935-1340
Mailing address
3911 W WATERS AVE STE 12, TAMPA, FL 33614-1950
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6579
FL
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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