Organization
OHI WEST MEDICAL GROUP II LLC
Active
Other names
Florida Medical Clinic Orlando Health Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DELATORRE (CEO)
(813) 780-8440
Entity
Organization
Contact information
Practice address
17401 COMMERCE PARK BLVD STE 107, TAMPA, FL 33647-3507
(813) 782-8311
(813) 783-8204
Mailing address
1414 KUHL AVE # MP8, ORLANDO, FL 32806-2008
(321) 841-3468
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
08/13/2024
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