FLORIDA MEDICAL CLINIC, LLC


Address: 17401 Commerce Park Blvd Ste 108, Tampa, FL 33647-3507
Phone: 8137828311

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL LICENSE 800020546 01
FL RR MEDICARE 690006221 01

Other Provider/Organization Names

Other Name Type Code
Florida Medical Clinic Pathology Lab Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
38117 Market Sq, Zephyrhills, FL 335427505 8137797687

Other Provider IDs and Locations

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

Office Location

Street Address 17401 COMMERCE PARK BLVD STE 108
City TAMPA
State FL
Zip Code 33647-3507

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City TAMPA
Zip Code 33647

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Dataset Information

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.

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