Organization
TRI-CITY WALK-IN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANWAR CHOWDHURY (OWNER)
(850) 865-3997
Entity
Organization
Contact information
Practice address
33281 CORTEZ BLVD, DADE CITY, FL 33523-9008
(850) 865-3997
Mailing address
17947 GOURD NECK LOOP, WINTER GARDEN, FL 34787-3090
(850) 865-3997
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
PA9100777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291706800
—
FL
Enumeration date
11/27/2015
Last updated
05/01/2016
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