| Blessedcare Center, Inc | |
|
4710 N Habana Ave Ste 402 Tampa FL 33614-7152 | |
| (813) 304-1299 | |
| (813) 304-1423 |
| Full Name | Blessedcare Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4710 N Habana Ave Ste 402, Tampa, Florida |
| Authorized Official Name and Position | Carlos Alberto Salazar (MD) |
| Authorized Official Contact | 8137517557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessedcare Center, Inc 4710 N Habana Ave Ste 402 Tampa FL 33614-7152 Ph: (813) 304-1299 | Blessedcare Center, Inc 4710 N Habana Ave Ste 402 Tampa FL 33614-7152 Ph: (813) 304-1299 |
| NPI Number | 1104308170 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 09/05/2018 |
| Medicare PECOS PAC ID | 6608114327 |
|---|---|
| Medicare Enrollment ID | O20190205001242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104308170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Carlos Alberto Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215900931 PECOS PAC ID: 5698798627 Enrollment ID: I20060105000349 |
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