| Florida Medical Clinic Dme Ortho Br | |
|
2020 Town Center Blvd Ste D Brandon FL 33511-2906 | |
| (813) 979-0440 | |
| (813) 355-5054 |
| Full Name | Florida Medical Clinic Dme Ortho Br |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2020 Town Center Blvd Ste D, Brandon, Florida |
| Authorized Official Name and Position | Joe Delatorre (CEO) |
| Authorized Official Contact | 8137808440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Medical Clinic Dme Ortho Br 38135 Market Sq Zephyrhills FL 33542-7505 Ph: (813) 979-0440 | Florida Medical Clinic Dme Ortho Br 2020 Town Center Blvd Ste D Brandon FL 33511-2906 Ph: (813) 979-0440 |
| NPI Number | 1710460175 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 03/20/2020 |
| Medicare PECOS PAC ID | 9931003068 |
|---|---|
| Medicare Enrollment ID | O20190320002164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710460175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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