Organization
AZ MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA LOPEZ (OWNER)
(786) 877-4216
Entity
Organization
Contact information
Practice address
3911 W WATERS AVE STE 13, TAMPA, FL 33614-1950
(813) 600-3118
(813) 333-1384
Mailing address
3911 W WATERS AVE STE 13, TAMPA, FL 33614-1950
(813) 600-3118
(813) 333-1384
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
11/11/2019
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