Organization
INTERNAL MEDICINE CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHABELI LOVAGINI CASTILLO (PRESIDENT)
(813) 365-4239
Entity
Organization
Contact information
Practice address
710 OAKFIELD DR STE 102, BRANDON, FL 33511-4931
(813) 365-4239
Mailing address
5445 6TH ST, ZEPHYRHILLS, FL 33542-3907
(813) 562-6496
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
03/06/2021
Last updated
07/10/2024
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