Organization
BEST CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE CONSUEGRA (PRESIDENT)
(813) 454-2715
Entity
Organization
Contact information
Practice address
2630 W WATERS AVE, TAMPA, FL 33614-2511
(813) 252-3108
(813) 930-0177
Mailing address
PO BOX 15575, TAMPA, FL 33684-5575
(813) 252-3108
(813) 930-0177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QH0100X
Health Service Clinic/Center
Primary
HCC10578
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/22/2016
Last updated
09/21/2020
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