| Family Medical Clinic Of Hillsborough County Inc. | |
|
3120 W Hillsborough Ave Tampa FL 33614-5927 | |
| (813) 877-7773 | |
| (813) 877-3771 |
| Full Name | Family Medical Clinic Of Hillsborough County Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3120 W Hillsborough Ave, Tampa, Florida |
| Authorized Official Name and Position | Mukund Chaturbhai Amin (VICE PRESIDENT) |
| Authorized Official Contact | 8138777773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic Of Hillsborough County Inc. 3120 W Hillsborough Ave Tampa FL 33614-5927 Ph: (813) 877-7773 | Family Medical Clinic Of Hillsborough County Inc. 3120 W Hillsborough Ave Tampa FL 33614-5927 Ph: (813) 877-7773 |
| NPI Number | 1023153962 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/01/2012 |
| Medicare PECOS PAC ID | 5092976621 |
|---|---|
| Medicare Enrollment ID | O20120409000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023153962 | NPI | - | NPPES |
| 370423800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME58029 DR AMIN (Florida) | Primary |
| 207R00000X | Internal Medicine | ME62437 DR SHAH (Florida) | Secondary |
| Provider Name | Mukund C Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245326248 PECOS PAC ID: 2163683798 Enrollment ID: I20120409000312 |
| Provider Name | Atul R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780772186 PECOS PAC ID: 8527229152 Enrollment ID: I20120412000599 |
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