Organization
ALLU TAMPA MEDICAL CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO MARQUEZ PAYNE (CEO)
(786) 424-4070
Entity
Organization
Contact information
Practice address
10549 N FLORIDA AVE STE F, TAMPA, FL 33612-6707
(786) 424-4070
Mailing address
10549 N FLORIDA AVE STE F, TAMPA, FL 33612-6707
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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