FLORIDA MEDICAL CLINIC, LLC (NPI# 1003036237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003036237 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL CLINIC, LLC |
| Other Organization Name | FLORIDA MEDICAL CLINIC PATHOLOGY LAB |
| Practice Address |
17401 Commerce Park Blvd Ste 108 Tampa FL 33647-3507 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8137828311 |
| Mailing Telephone | 8137801255 |
| Mailing Fax Number | 8137809773 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | JOE I DELATORRE (CEO) |
| Authorized Official Telephone | 8137808440 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA MEDICAL CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | 800020546 | 01 |
| FL | RR MEDICARE | 690006221 | 01 |
| Other Name | Type Code |
|---|---|
| Florida Medical Clinic Pathology Lab | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 38117 Market Sq, Zephyrhills, FL 335427505 | 8137797687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609165166 | Florida Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 38107 Market Sq, Zephyrhills, FL 33542-7505 | 2011-04-05 |
| 1568425809 | Florida Medical Clinic, LLC | Clinical Medical Laboratory | 17401 Commerce Park Blvd Ste 107, Tampa, FL 33647-3507 | 2006-04-08 |
| 1912484452 | Florida Medical Clinic, LLC | Clinic/Center | 2100 Via Bella Blvd Ste 204, Land O Lakes, FL 34639-5429 | 2018-07-27 |
| 1831641802 | Florida Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 2352 Bruce B Downs Blvd, 102, Wesley Chapel, FL 33544-9203 | 2016-10-26 |
| 1033596465 | Florida Medical Clinic, LLC | Clinic/Center | 38107 Market Sq, Zephyrhills, FL 33542-7505 | 2015-05-06 |
| 1740667187 | Florida Medical Clinic, LLC | Clinic/Center | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2015-05-06 |
| 1356728505 | Florida Medical Clinic, LLC | Clinic/Center | 2700 Healing Way, Suite 100, Wesley Chapel, FL 33543-5453 | 2015-04-27 |
| 1316324577 | Florida Medical Clinic, LLC | Clinic/Center | 12500 N Dale Mabry Hwy, Suite B, Tampa, FL 33618-2809 | 2015-04-27 |
| 1386038248 | Florida Medical Clinic, LLC | Family Medicine | 13311 N 56th St, Tampa, FL 33617-1161 | 2015-03-27 |
| 1669878021 | Florida Medical Clinic, LLC | Pharmacy | 38051 Market Sq, Zephyrhills, FL 33542-7504 | 2014-11-13 |
| Street Address |
17401 COMMERCE PARK BLVD STE 108 |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1760800460 | Phoutthasone Thirakul | Pathology | 11025 N 46th St, Tampa, FL 33617-2000 | 2014-04-01 |
| 1497047575 | Liying Fu | Pathology | 5751 Hoover Boulevard, Tampa, FL 33634-5340 | 2011-05-09 |
| 1073812608 | Maryam Tahmasbi | Pathology | 13220 Usf Laurel Dr, 5th Floor, Tampa, FL 33612-4742 | 2011-03-22 |
| 1548564743 | Jun Zhou | Pathology | 14225 East Fowler Avenue, Suite B, Tampa, FL 33617-2026 | 2011-01-03 |
| 1932433570 | Daryoush Saeed-vafa | Pathology | 402 S Armenia Ave Unit 131, Tampa, FL 33609-3300 | 2009-09-30 |
| 1164680286 | Gino Franco Piparo | Pathology | 12901 Bruce B Downs Blvd # 11, Tampa, FL 33612-4742 | 2008-05-27 |
| 1780807057 | Piotr Borkowski | Pathology | 4225 East. Fowler Ave, Tampa, FL 33617-2026 | 2007-04-11 |
| 1013064021 | Joseph Andrew Migliozzi | Pathology | 9812 Compass Point Way, Tampa, FL 33615-4218 | 2007-01-04 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.