Cumedica Doctors Center | |
4618 N Armenia Ave Tampa FL 33603-2706 | |
(813) 997-6042 | |
Not Available |
Full Name | Cumedica Doctors Center |
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Speciality | General Practice |
Location | 4618 N Armenia Ave, Tampa, Florida |
Authorized Official Name and Position | Mayra Lopez (OWNER) |
Authorized Official Contact | 8135098083 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cumedica Doctors Center 8904 W Hamilton Ave Tampa FL 33615-2726 Ph: () - | Cumedica Doctors Center 4618 N Armenia Ave Tampa FL 33603-2706 Ph: (813) 997-6042 |
NPI Number | 1093378101 |
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Provider Enumeration Date | 04/16/2019 |
Last Update Date | 10/15/2020 |
Medicare PECOS PAC ID | 4880929975 |
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Medicare Enrollment ID | O20190711001795 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093378101 | NPI | - | NPPES |
103116700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Mayra Lopez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1558568816 PECOS PAC ID: 3274622329 Enrollment ID: I20130927000290 |
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