Organization
FLORIDA MEDICAL CLINIC, LLC
Active
Other names
FMC Family Med DME
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DELATORRE (CEO)
(813) 780-8440
Entity
Organization
Contact information
Practice address
2100 VIA BELLA BLVD STE 204, LAND O LAKES, FL 34639-5429
(813) 751-3636
(813) 377-1678
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-1255
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
07/27/2018
Last updated
03/20/2020
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