Organization · NPI-2

24th Century Medical Center

Family Medicine · Tampa, FL

NPI number1386942423
StatusActive
Last updated in NPPESMar 13, 2011

Details

NPI
1386942423
Entity type
Organization (NPI-2)
Legal business name
24th Century Medical Center
Organization subpart
No
Enumeration date
Mar 13, 2011
Last updated
Mar 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––
208D00000X General Practice––

Practice location

7747 W Hillsborough Ave
Tampa, FL 33615-4715

Phone 813-230-4212 · Fax 813-549-1041

Mailing address

7747 W Hillsborough Ave
Tampa, FL 33615-4715

Phone 813-230-4212 · Fax 813-549-1041

Authorized official

Victor Obi
Owner
8132304212

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