| Opes Health Channelside Llc | |
|
912 Channelside Dr Suite 2103 Tampa FL 33602-4229 | |
| (813) 906-6737 | |
| (855) 916-6737 |
| Full Name | Opes Health Channelside Llc |
|---|---|
| Speciality | General Practice |
| Location | 912 Channelside Dr, Tampa, Florida |
| Authorized Official Name and Position | Victor Cruz (PRESIDENT) |
| Authorized Official Contact | 8133973632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opes Health Channelside Llc 109 N 12th St Suite 1105 Tampa FL 33602-3686 Ph: (813) 906-6737 | Opes Health Channelside Llc 912 Channelside Dr Suite 2103 Tampa FL 33602-4229 Ph: (813) 906-6737 |
| NPI Number | 1013385004 |
|---|---|
| Provider Enumeration Date | 09/08/2015 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013385004 | NPI | - | NPPES |
| 015842000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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