| Adult & Geriatric Medical Care, P.a. | |
|
7001 N Dale Mabry Hwy Suite 11 Tampa FL 33614-3910 | |
| (813) 915-5555 | |
| (813) 931-7508 |
| Full Name | Adult & Geriatric Medical Care, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7001 N Dale Mabry Hwy, Tampa, Florida |
| Authorized Official Name and Position | Cres Antonio Rodriguez (PRESIDENT) |
| Authorized Official Contact | 8139155555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Geriatric Medical Care, P.a. 7001 N Dale Mabry Hwy Suite 11 Tampa FL 33614-3910 Ph: (813) 915-5555 | Adult & Geriatric Medical Care, P.a. 7001 N Dale Mabry Hwy Suite 11 Tampa FL 33614-3910 Ph: (813) 915-5555 |
| NPI Number | 1720010283 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 01/03/2011 |
| Medicare PECOS PAC ID | 2264629336 |
|---|---|
| Medicare Enrollment ID | O20101215000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720010283 | NPI | - | NPPES |
| 047016300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME51442 (Florida) | Primary |
| Provider Name | Cres A Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740213628 PECOS PAC ID: 2163619230 Enrollment ID: I20101215000657 |
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