FLORIDA MEDICAL CLINIC LLC (NPI# 1578937140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578937140 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL CLINIC LLC |
| Other Organization Name | FLORIDA MEDICAL CLINIC EYE CENTER TPA |
| Practice Address |
13602 N 46th St Tampa FL 33613-4931 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8139724444 |
| Practice Fax Number | 8139791600 |
| Mailing Telephone | 8135284975 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2020-03-19 |
| 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) | DO5641 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Florida Medical Clinic Eye Center TPA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548779994 | Florida Medical Clinic LLC | Eyewear Supplier (Equipment, not the service) | 2100 Via Bella Blvd Ste 105, Land O Lakes, FL 34639-5429 | 2017-09-28 |
| 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 |
| 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 |
13602 N 46TH ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194733188 | Thomas J Pusateri | Ophthalmology | 13602 N 46th St, Tampa, FL 33613-4931 | 2006-08-04 |
| 1013297910 | Erin Swichkow Cooper | Optometrist | 13602 N 46th St, Tampa, FL 33613-4931 | 2011-08-23 |
| 1790919868 | Sejal Shah Desai | Ophthalmology | 13602 N 46th St, Tampa, FL 33613-4931 | 2009-05-05 |
| 1043220221 | Sever Pusateri & Cortelli Md Pa | Specialist | 13602 N 46th St, Tampa, FL 33613-4931 | 2006-08-09 |
| 1538177522 | Leonard E Cortelli Jr. | Ophthalmology | 13602 N 46th St, Tampa, FL 33613-4931 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| 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 |
|---|---|---|---|---|
| 1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
| 1952959918 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2223 N West Shore Blvd Ste 280, Tampa, FL 33607-7228 | 2019-09-03 |
| 1831616192 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 420 W Kennedy Blvd, Tampa, FL 33606-1413 | 2017-08-28 |
| 1326563362 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 3708 Henderson Blvd, Tampa, FL 33609-4504 | 2017-08-10 |
| 1902336415 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 298 Westshore Plz, Tampa, FL 33609-1811 | 2017-06-16 |
| 1679960322 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3108 N Boundary Blvd, Tampa, FL 33621-5050 | 2015-04-21 |
| 1104164391 | Designing Eyes Optical Boutique, Inc | Eyewear Supplier (Equipment, not the service) | 200 N Tampa St, Suite G110, Tampa, FL 33602-5161 | 2013-01-22 |
| 1245517085 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 8150 Citrus Park Town Center Mall, Suite 1100, Tampa, FL 33625-3181 | 2011-11-08 |
| 1760672745 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 7651 W Waters Ave, Tampa, FL 33615-1513 | 2007-07-26 |
| 1396943957 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 5067 Savarese Cir, Tampa, FL 33634-2404 | 2007-07-05 |
| 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.