Organization
CONVENIENT CARE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDA LYNN WILLETT (EXEC DIRECTOR)
(813) 957-3554
Entity
Organization
Contact information
Practice address
507 S MACDILL AVE, TAMPA, FL 33609-3038
(813) 350-9398
(813) 414-9181
Mailing address
507 S MACDILL AVE, TAMPA, FL 33609-3038
(813) 350-9398
(813) 414-9181
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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