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14547 Bruce B Downs Blvd Ste C Tampa FL 33613-2709 | |
| (813) 979-0440 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 14547 Bruce B Downs Blvd Ste C, Tampa, Florida |
| Authorized Official Name and Position | Joe Delatorre (CEO) |
| Authorized Official Contact | 8137808440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
38135 Market Square Dr Zephyrhills FL 33542-7505 Ph: (813) 528-4975 | 14547 Bruce B Downs Blvd Ste C Tampa FL 33613-2709 Ph: (813) 979-0440 |
| NPI Number | 1437915857 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 04/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437915857 | 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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