Organization
HYDE PARK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD EMMANUILIDIS (OWNER)
(727) 288-6358
Entity
Organization
Contact information
Practice address
301 W PLATT ST # A373, TAMPA, FL 33606-2292
(813) 314-7494
Mailing address
301 W PLATT ST # A373, TAMPA, FL 33606-2292
(813) 314-7494
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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