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Florida Medical Clinic LLC

Durable Medical Equipment & Medical Supplies in Brandon, FL. Organization (NPI-2).

NPI number1386007474
StatusActive
Last updated in NPPESMar 20, 2020

Details

NPI
1386007474
Entity type
Organization (NPI-2)
Legal business name
Florida Medical Clinic LLC
Organization subpart
Yes
Enumeration date
Apr 5, 2016
Certification date
Mar 20, 2020
Last updated
Mar 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
261Q00000X Clinic/Center––

Other names

  • Florida Medical Brandon Town Dme (Other Name)

Practice location

2020 Town Center Blvd
Suite B
Brandon, FL 33511-2906

Phone 813-315-1500 · Fax 813-377-1687

Mailing address

38135 Market Sq
Zephyrhills, FL 33542-7505

Phone 813-528-4975

Authorized official

Joe Delatorre
Ceo
8137808774

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