Organization
FLOIRDA MEDICAL CLINIC ACO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DELATORRE (CEO)
(813) 780-8774
Entity
Organization
Contact information
Practice address
2150 VIA BELLA BLVD., LAND O LAKES, FL 34639
(813) 780-8774
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-8774
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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