| Promedtc, Llc | |
|
3109 Lithia Pinecrest Rd Valrico FL 33596-5632 | |
| (718) 666-8759 | |
| Not Available |
| Full Name | Promedtc, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3109 Lithia Pinecrest Rd, Valrico, Florida |
| Authorized Official Name and Position | Tymur Chepi-ipa (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7186668759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promedtc, Llc 777 N Ashley Dr Unit 1815 Tampa FL 33602-4373 Ph: (718) 666-8759 | Promedtc, Llc 3109 Lithia Pinecrest Rd Valrico FL 33596-5632 Ph: (718) 666-8759 |
| NPI Number | 1104441617 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/10/2020 |
| Medicare PECOS PAC ID | 0446672380 |
|---|---|
| Medicare Enrollment ID | O20200622001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104441617 | NPI | - | NPPES |
| 1548623432 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tymur Chepi-ipa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548623432 PECOS PAC ID: 7012206428 Enrollment ID: I20160525000012 |
Anytime Healthcare Home Visits Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3433 Lithia Pinecrest Rd Ste 347, Valrico, FL 33596 Phone: 813-578-4971 Fax: 813-726-0723 | |
Complete Health Of Tampa Bay Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1426 Bloomingdale Ave, Valrico, FL 33594 Phone: 813-684-8020 Fax: 813-662-6968 | |
Tgmg Valrico Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2211 Lithia Center Ln, Valrico, FL 33596 Phone: 813-660-7100 Fax: 813-660-6625 | |
Kids First Pediatric Care, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4343 Lynx Paw Trl, Valrico, FL 33596 Phone: 813-681-3800 Fax: 813-681-3883 | |
Crhg, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1548 Bloomingdale Ave, Valrico, FL 33596 Phone: 813-946-6283 | |
Baycare Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 123, Valrico, FL 33596 Phone: 813-586-8530 Fax: 813-605-6150 |