FLORIDA MEDICAL CLINIC LLC (NPI# 1619463825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619463825 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL CLINIC LLC |
| Other Organization Name | FLORIDA MEDICAL CLINIC ORTHO DISPENSING COMMERCIAL |
| Practice Address |
602 S Howard Ave Tampa FL 33606-2413 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8132532406 |
| Practice Fax Number | 8132514290 |
| Mailing Telephone | 8135284975 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | JOE DELATORRE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8137808440 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA MEDICAL CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Florida Medical Clinic Ortho Dispensing Commercial | Other Name - Individual/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 |
| 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 |
602 S HOWARD AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255326484 | Tampa Orthopaedic & Sports Medicine Group | Durable Medical Equipment & Medical Supplies | 602 S Howard Ave, Tampa, FL 33606-2413 | 2005-09-14 |
| 1477914869 | Florida Medical Clinic LLC | Clinic/Center | 602 S Howard Ave, Tampa, FL 33606-2413 | 2016-03-11 |
| 1124407333 | Tampa Orthopaedic & Sports Medicine Group | Non-Pharmacy Dispensing Site | 602 S Howard Ave, Tampa, FL 33606-2413 | 2015-05-20 |
| 1316280407 | Jack Kwangsauan Tseng | Family Medicine | 602 S Howard Ave, Tampa, FL 33606-2413 | 2013-03-27 |
| 1063694735 | South Tampa After Hours Clinic, LLC | Clinic/Center | 602 S Howard Ave, Tampa, FL 33606-2413 | 2007-12-04 |
| 1457565095 | Craig S Vecchiarelli | Physical Therapist | 602 S Howard Ave, Tampa, FL 33606-2413 | 2007-05-10 |
| 1659594901 | Jeff Roger Desjardine | Physical Therapist | 602 S Howard Ave, Tampa, FL 33606-2413 | 2007-04-11 |
| 1700935723 | Tracey Lynn Nimeh | Physician Assistant | 602 S Howard Ave, Tampa, FL 33606-2413 | 2007-01-09 |
| 1952351058 | Maria Esther Thompson | Physical Therapist | 602 S Howard Ave, Tampa, FL 33606-2413 | 2006-05-11 |
| 1740243567 | Arnold M Ramirez | Family Medicine | 602 S Howard Ave, Tampa, FL 33606-2413 | 2006-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700393881 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1901 Fletcher Avenue, Tampa, FL 33612 | 2018-01-10 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1891154498 | Florida Urology Partners, LLP | Non-Pharmacy Dispensing Site | 1 Davis Blvd Ste 604, Tampa, FL 33606-3480 | 2016-02-11 |
| 1275762163 | Marathon Health Care Services of Florida Pa | Non-Pharmacy Dispensing Site | 8125 Highwoods Palm Way, C/o Syniverse, Tampa, FL 33647-1776 | 2009-07-13 |
| 1922148022 | Tampa Eye Clinic Optical Center | Non-Pharmacy Dispensing Site | 3000 Dr M L King Jr Blvd, Tampa, FL 33607 | 2007-02-07 |
| 1396763934 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 200 S Macdill Ave, Suite 100, Tampa, FL 33609-3131 | 2006-07-18 |
| 1285279430 | Florida Urology Partners LLP | Non-Pharmacy Dispensing Site | 601 S Armenia Ave, Tampa, FL 33609-4123 | 2019-11-12 |
| 1194239780 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2017-11-20 |
| 1760852776 | Tampa Pain Relief Center, Inc | Non-Pharmacy Dispensing Site | 3000 Medical Park Dr Ste 510, Tampa, FL 33613-6602 | 2015-10-02 |
| 1205206216 | Tampa Pain Relief Center, Inc | Non-Pharmacy Dispensing Site | 2333 W Hillsborough Ave, Ste 100, Tampa, FL 33603-1052 | 2015-10-02 |
| 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.