| Tampa Bay Medical Center, Llc | |
|
5111 N Armenia Ave Tampa FL 33603-1405 | |
| (813) 272-0420 | |
| (813) 272-0421 |
| Full Name | Tampa Bay Medical Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 5111 N Armenia Ave, Tampa, Florida |
| Authorized Official Name and Position | Rolando Garcia (OWNER) |
| Authorized Official Contact | 8139523918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Bay Medical Center, Llc 5111 N Armenia Ave Tampa FL 33603-1405 Ph: (813) 272-0420 | Tampa Bay Medical Center, Llc 5111 N Armenia Ave Tampa FL 33603-1405 Ph: (813) 272-0420 |
| NPI Number | 1811537087 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 04/14/2020 |
| Medicare PECOS PAC ID | 9537448725 |
|---|---|
| Medicare Enrollment ID | O20161110001198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811537087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mabel Gonzalez Novo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285643486 PECOS PAC ID: 6305848946 Enrollment ID: I20081216000207 |
| Provider Name | Rolando Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174641732 PECOS PAC ID: 3476713082 Enrollment ID: I20120319000710 |
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