Renaissance Medical Center Corp | |
3832 W Humphrey St Tampa FL 33614-1955 | |
(813) 440-4420 | |
(813) 502-0290 |
Full Name | Renaissance Medical Center Corp |
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Speciality | General Practice |
Location | 3832 W Humphrey St, Tampa, Florida |
Authorized Official Name and Position | Amilcar M Lominchar (MD/OWNER) |
Authorized Official Contact | 8134404420 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Renaissance Medical Center Corp 3832 W Humphrey St Tampa FL 33614-1955 Ph: (813) 440-4420 | Renaissance Medical Center Corp 3832 W Humphrey St Tampa FL 33614-1955 Ph: (813) 440-4420 |
NPI Number | 1437691169 |
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Provider Enumeration Date | 11/11/2016 |
Last Update Date | 06/05/2023 |
Medicare PECOS PAC ID | 1658658661 |
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Medicare Enrollment ID | O20170501000046 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437691169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | ME125313 (Florida) | Secondary |
Provider Name | Amilcar Miguel Lominchar |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1881085827 PECOS PAC ID: 2365744307 Enrollment ID: I20170221000147 |
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