FLORIDA MEDICAL CLINIC LLC (NPI# 1740522754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740522754 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL CLINIC LLC |
| Other Organization Name | FLORIDA MEDICAL CLINIC DME DC |
| Practice Address |
13417 Us Highway 301 Suite B Dade City FL 33525-5446 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8137780440 |
| Practice Fax Number | 8133555019 |
| Mailing Telephone | 8137801255 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2020-03-19 |
| 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 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Florida Medical Clinic DME DC | 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 |
| 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 |
| Street Address |
13417 US HIGHWAY 301 SUITE B |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669417143 | Mazen A Abboud | Podiatrist | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2006-06-18 |
| 1639572373 | Susan J Gibbs | Nurse Practitioner | 13417 Us Highway 301, Ste B, Dade City, FL 33525-5446 | 2014-10-08 |
| 1659614162 | Joseph Michael Genualdi Jr. | Podiatrist | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2013-04-03 |
| 1326310780 | Felicia Seal | Social Worker | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2012-02-01 |
| 1457689275 | Danielle Williamson | Nurse Practitioner | 13417 Us Highway 301, Suite D, Dade City, FL 33525-5446 | 2009-12-07 |
| 1790949113 | Camille Nancy Anise | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-07-15 |
| 1447417076 | Joan E Heitzler | Nurse Practitioner | 13417 Us Highway 301, Ste. A, Dade City, FL 33525-5446 | 2008-05-21 |
| 1669639183 | Bay Area Neurology Consultants Pl | Psychiatry & Neurology | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-05-21 |
| 1326215641 | Church Street Medical Center | Internal Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-05-15 |
| 1548375876 | Anthony Esposito | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| 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 |
|---|---|---|---|---|
| 1154799195 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 11830 Us Highway 301, Dade City, FL 33525-6037 | 2015-09-08 |
| 1033342654 | Mmrx Healthsolutions Inc | Durable Medical Equipment & Medical Supplies | 12620 Us Highway 301, Dade City, FL 33525-6058 | 2009-08-30 |
| 1225043425 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12807 Us Highway 301, Dade City, FL 33525-5812 | 2006-07-29 |
| 1417975848 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 12650 Hwy 301 South, Dade City, FL 33525 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225047 | Halo Florida Dme LLC | Durable Medical Equipment & Medical Supplies | 710 Pondella Rd Ste 4, North Fort Myers, FL 33903-5730 | 2020-11-05 |
| 1033710249 | Harmony Home Care Solutions LLC | Durable Medical Equipment & Medical Supplies | 6625 Miami Lakes Dr E Ste 319, Miami Lakes, FL 33014-2705 | 2020-11-04 |
| 1972104305 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 8684 Beulah Rd, Pensacola, FL 32526-5201 | 2020-11-03 |
| 1548861990 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2135 Everglades Ln, The Villages, FL 32163-1037 | 2020-11-03 |
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1659972016 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 5140 County Line Rd, Lakeland, FL 33811-1706 | 2020-11-03 |
| 1891396248 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 205 Rivertown Shops Dr, Saint Johns, FL 32259-7476 | 2020-11-03 |
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1265033591 | Acqualina Health Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 12955 Biscayne Blvd Ste 322, North Miami, FL 33181-2022 | 2020-11-03 |
| 1083215511 | Supplies Plus Fl Inc | Durable Medical Equipment & Medical Supplies | 223 Island Way Apt 5f, Clearwater Beach, FL 33767-2254 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.