FLORIDA MEDICAL CLINIC LLC (NPI# 1548779994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548779994 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL CLINIC LLC |
| Other Organization Name | FLORIDA MEDICAL CLINIC EYE CENTER LOL |
| Practice Address |
2100 Via Bella Blvd Ste 105 Land O Lakes FL 34639-5429 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8139724444 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | JOE DELATORRE (CEO) |
| Authorized Official Telephone | 8137808774 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA MEDICAL CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Florida Medical Clinic Eye Center LOL | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542596 | Florida Medical Clinic LLC | Clinic/Center | 2352 Bruce B Downs Blvd Ste 303, Wesley Chapel, FL 33544-9203 | 2020-03-05 |
| 1710460175 | Florida Medical Clinic LLC | Clinic/Center | 2020 Town Center Blvd Ste D, Brandon, FL 33511-2906 | 2018-09-12 |
| 1619463825 | Florida Medical Clinic LLC | Non-Pharmacy Dispensing Site | 602 S Howard Ave, Tampa, FL 33606-2413 | 2018-07-11 |
| 1609323732 | Florida Medical Clinic LLC | Pharmacy | 2352 Bruce B Downs Blvd, Suite 103, Wesley Chapel, FL 33544-9203 | 2016-09-07 |
| 1386007474 | Florida Medical Clinic LLC | Clinic/Center | 2020 Town Center Blvd, Suite B, Brandon, FL 33511-2906 | 2016-04-05 |
| 1477914869 | Florida Medical Clinic LLC | Clinic/Center | 602 S Howard Ave, Tampa, FL 33606-2413 | 2016-03-11 |
| 1578937140 | Florida Medical Clinic LLC | Eyewear Supplier (Equipment, not the service) | 13602 N 46th St, Tampa, FL 33613-4931 | 2015-11-19 |
| 1023414919 | Florida Medical Clinic LLC | Clinic/Center | 2100 Via Bella Blvd, Suite 103, Land O Lakes, FL 34639-5429 | 2014-11-05 |
| 1134461866 | Florida Medical Clinic LLC | Clinic/Center | 27416 Cashford Cir Ste 101, Wesley Chapel, FL 33544-6938 | 2013-03-20 |
| 1740522754 | Florida Medical Clinic LLC | Clinic/Center | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2013-03-18 |
| Street Address |
2100 VIA BELLA BLVD STE 105 |
| City | LAND O LAKES |
| State | FL |
| Zip Code | 34639-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730640962 | Destiny Marie Gaines | Counselor | 22703 Chesterview Loop Apt.211, Land O Lakes, FL 34639 | 2019-03-29 |
| 1720544380 | Central Florida Dermatology Institute, Pllc | Dermatology | 5450 Land O Lakes Blvd, Land O Lakes, FL 34639 | 2019-02-19 |
| 1073932174 | Erika Schaefer Meier | Nurse Practitioner | 2061 Collier Parkway, Land O Lakes, FL 34639 | 2014-04-16 |
| 1548526924 | George Alan Brant | Dermatology | 5450 Land O' Lakes Blvd, Land O' Lakes, FL 34639 | 2012-04-10 |
| 1679848956 | Floirda Medical Clinic Aco, LLC | Clinic/Center | 2150 Via Bella Blvd., Land O Lakes, FL 34639 | 2012-03-20 |
| 1336452408 | Jennifer T Gardner | Counselor | 5402 Swallow Dr, Land O Lakes, FL 34639 | 2010-07-19 |
| 1104094515 | Angela Claire Marina | Occupational Therapy Assistant | 7227 Land O Lakes Boulevard, Land O Lakes, FL 34639 | 2008-02-19 |
| 1154521151 | Kelly John Mulroy | Counselor | 3632 Land O'lakes Blvd, Suite 106, Land O'lakes, FL 34639 | 2007-07-19 |
| 1225248610 | Sandra J Aljure Estrada Dds Pa | Dentist | 21533 Villages Lakes Shopping Center, Land O Lakes, FL 34639 | 2007-05-23 |
| 1124233523 | Antionette Elizabeth Welch | Nurse Practitioner | 2121 Collier Parkway, The Little Clinic, Land O' Lakes, FL 34639 | 2007-05-11 |
| Find all providers in zip 34639 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363327 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7050 Coral Way, Miami, FL 33155-1603 | 2020-10-14 |
| 1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
| 1013515006 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 620 Riverside Dr, Coral Springs, FL 33071-7615 | 2020-10-13 |
| 1841898822 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1800 Dunlawton Ave, Port Orange, FL 32127-2921 | 2020-10-13 |
| 1689272817 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16200 Sw 88th St, Miami, FL 33196-4941 | 2020-10-10 |
| 1619575859 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2577 S Highway 27, Clermont, FL 34711-6788 | 2020-10-10 |
| 1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
| 1548868789 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 9372 Ben C Pratt/6 Mile Cypress Pkwy, Fort Myers, FL 33966-6502 | 2020-10-10 |
| 1003413444 | Family Vision of Crestview LLC | Eyewear Supplier (Equipment, not the service) | 535 S Ferdon Blvd Ste B, Crestview, FL 32536-4446 | 2020-10-08 |
| 1891392478 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 650 Se 8th St, Homestead, FL 33030-7405 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | LAND O LAKES |
| Zip Code | 34639 |
Please comment or provide details below to improve the information on FLORIDA MEDICAL CLINIC LLC.
| 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.