| 360 Degree Medical Care Pa | |
|
3111 W San Jose St Tampa FL 33629-7247 | |
| (813) 446-5460 | |
| Not Available |
| Full Name | 360 Degree Medical Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3111 W San Jose St, Tampa, Florida |
| Authorized Official Name and Position | Rena Mehta (MD) |
| Authorized Official Contact | 8134465460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Degree Medical Care Pa 3111 W San Jose St Tampa FL 33629-7247 Ph: (813) 446-5460 | 360 Degree Medical Care Pa 3111 W San Jose St Tampa FL 33629-7247 Ph: (813) 446-5460 |
| NPI Number | 1760916696 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 8921376385 |
|---|---|
| Medicare Enrollment ID | O20170608000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760916696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rena Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356590293 PECOS PAC ID: 2365586179 Enrollment ID: I20170608000902 |
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