Glory Medclinic, Llc

LBN: Glory Medclinic, Llc
Glory Medclinic, Llc is an health care organization with primary practice located at 8019 N Himes Ave Suite 200, Tampa FL 33614-2712. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Glory Medclinic, Llc can be contacted via phone (813) 932-9798, or through Ikudayisi, David Omotayo via phone (813) 932-9798.

Contact Information

Primary practice address
8019 N Himes Ave Suite 200 Tampa FL 33614-2712
Phone: (813) 932-9798
Fax: (813) 935-5178
Website:
Map and Directions
Authorized official contact:
Name: Ikudayisi, David Omotayo Doctor of Medicine (MD)
Phone: (813) 932-9798

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X Florida

Profile Details

NPI number 1427472364
LBN Legal business name Glory Medclinic, Llc
DBA Doing business as
Authorized official Ikudayisi, David Omotayo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2014
Last updated Feb 12th, 2014 - about 11 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.

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