Organization
FLORIDA MEDICAL CLINIC, LLC
Active
Other names
Forida Medical Clinic DME Ortho TP
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DELATORRE (CEO)
(813) 780-8774
Entity
Organization
Contact information
Practice address
14547 BRUCE B DOWNS BLVD, SUITE C, TAMPA, FL 33613-2709
(813) 979-0440
(813) 355-5054
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
05/06/2015
Last updated
03/20/2020
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