FLORIDA MEDICAL CLINIC LLC (NPI# 1710460175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710460175 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL CLINIC LLC |
| Other Organization Name | FLORIDA MEDICAL CLINIC DME ORTHO BR |
| Practice Address |
2020 Town Center Blvd Ste D Brandon FL 33511-2906 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8139790440 |
| Practice Fax Number | 8133555054 |
| Mailing Telephone | 8139790440 |
| Mailing Fax Number | 8133555054 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | JOE DELATORRE (CEO) |
| Authorized Official Telephone | 8137808440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Florida Medical Clinic DME Ortho BR | 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 |
| 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 |
2020 TOWN CENTER BLVD STE D |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407122468 | Jessica G Cupido | Physical Medicine & Rehabilitation | 2020 Town Center Blvd Ste D, Brandon, FL 33511-2906 | 2012-03-23 |
| 1831619048 | Craig Spandau | Audiologist | 2020 Town Center Blvd Ste D, Brandon, FL 33511-2906 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667781 | Janz Medical Supply | Durable Medical Equipment & Medical Supplies | Building 998 Boston Rd, Brandon, ENGLAND IP27 9PN | 2020-07-23 |
| 1407333719 | Graceful Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 220 W Brandon Blvd Ste 206, Brandon, FL 33511-5100 | 2018-07-20 |
| 1942673850 | Brent Walters | Durable Medical Equipment & Medical Supplies | 308 Deer Holw, Brandon, MS 39047-6468 | 2015-11-02 |
| 1306245618 | Datin Medical Supply | Durable Medical Equipment & Medical Supplies | 2151 Highway 18 Ste E, Brandon, MS 39042-2492 | 2014-08-22 |
| 1275958423 | Datin Medical Supply | Durable Medical Equipment & Medical Supplies | 2151 Highway 18, Brandon, MS 39042-2492 | 2014-02-25 |
| 1972927622 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 320 Oakfield Dr Ste C, Brandon, FL 33511-5742 | 2014-02-14 |
| 1508289000 | Matthew Lay Davis | Durable Medical Equipment & Medical Supplies | 73 Glenway Pl, Brandon, MS 39042-2530 | 2014-02-04 |
| 1336434315 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 901 Lithia Pinecrest Rd, Brandon, FL 33511-6120 | 2011-06-17 |
| 1952603789 | Easycare Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 210 S Kings Ave, Unit L, Brandon, FL 33511-5705 | 2010-11-30 |
| 1427389873 | Constance Schene Washington | Durable Medical Equipment & Medical Supplies | 450 Pecan Cir, Brandon, MS 39042-7403 | 2010-01-25 |
| Find all providers in BRANDON | ||||
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.