Organization · NPI-2

360 Degree Medical Care PA

Internal Medicine · Tampa, FL

NPI number1760916696
StatusActive
Last updated in NPPESAug 14, 2024

Details

NPI
1760916696
Entity type
Organization (NPI-2)
Legal business name
360 Degree Medical Care PA
Organization subpart
No
Enumeration date
Apr 18, 2017
Certification date
Aug 14, 2024
Last updated
Aug 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

3111 W San Jose St
Tampa, FL 33629-7247

Phone 813-446-5460

Mailing address

3111 W San Jose St
Tampa, FL 33629-7247

Phone 813-446-5460

Authorized official

Rena Mehta
MD
8134465460

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