Florida Medical Clinic Pathology Lab
LBN: Florida Medical Clinic, Llc
Florida Medical Clinic Pathology Lab is an health care organization with primary practice located at 17401 Commerce Park Blvd Ste 108 , Tampa FL 33647-3507. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty.
Florida Medical Clinic, Llc can be contacted via phone (813) 782-8311, or through Delatorre, Joe I via phone (813) 780-8440.
Contact Information
Primary practice address
17401 Commerce Park Blvd Ste 108
Tampa FL 33647-3507
Phone: (813) 782-8311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ||
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X |
Profile Details
| NPI number | 1003036237 |
|---|---|
| LBN Legal business name | Florida Medical Clinic, Llc |
| DBA Doing business as | Florida Medical Clinic Pathology Lab |
| Authorized official | Delatorre, Joe I |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 30th, 2007 |
| Last updated | Feb 21st, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003036237 | NPPES |
| Florida | Other | 690006221 | RR MEDICARE |
| Florida | Other | 800020546 | RR MEDICARE |
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