| Humanitary Medical Center, Inc. | |
|
6607 N Dale Mabry Hwy Tampa FL 33614-3985 | |
| () - | |
| Not Available |
| Full Name | Humanitary Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6607 N Dale Mabry Hwy, Tampa, Florida |
| Authorized Official Name and Position | Eliecer Gonzalez (OWNER) |
| Authorized Official Contact | 8134991500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanitary Medical Center, Inc. 6607 N Dale Mabry Hwy Tampa FL 33614-3985 Ph: (813) 499-1500 | Humanitary Medical Center, Inc. 6607 N Dale Mabry Hwy Tampa FL 33614-3985 Ph: () - |
| NPI Number | 1629612668 |
|---|---|
| Provider Enumeration Date | 11/02/2019 |
| Last Update Date | 06/09/2023 |
| Medicare PECOS PAC ID | 3173952298 |
|---|---|
| Medicare Enrollment ID | O20200410000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629612668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Carlos Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992724538 PECOS PAC ID: 1254362379 Enrollment ID: I20050829000064 |
| Provider Name | Pablo Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992079867 PECOS PAC ID: 9931365590 Enrollment ID: I20120725001010 |
| Provider Name | Rene E Disotuar Abad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780019026 PECOS PAC ID: 5890939128 Enrollment ID: I20130926000267 |
| Provider Name | Raul Blanco Azcuy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447591508 PECOS PAC ID: 4981092574 Enrollment ID: I20211101002992 |
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