Organization
FLORIDA MEDICAL CLINIC, LLC
Active
Parent organization
FLORIDA MEDICAL CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA MEDICAL CLINIC, LLC
Authorized official
JOE DELATORRE (CEO)
(813) 780-8440
Entity
Organization
Contact information
Practice address
2100 VIA BELLA BLVD STE 207, LAND O LAKES, FL 34639-5429
(813) 528-4960
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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