Phoenix Medical Clinic

LBN: Rag Medical Clinic Llc
Phoenix Medical Clinic is an health care organization with primary practice located at 6408 N Armenia Ave Ste B-1 , Tampa FL 33604-5770. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Rag Medical Clinic Llc can be contacted via phone (813) 352-8305, or through Gomez Fernandez, Ricardo A via phone (813) 352-8305.

Contact Information

Primary practice address
6408 N Armenia Ave Ste B-1 Tampa FL 33604-5770
Phone: (813) 352-8305
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gomez Fernandez, Ricardo A
Phone: (813) 352-8305

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1528624053
LBN Legal business name Rag Medical Clinic Llc
DBA Doing business as Phoenix Medical Clinic
Authorized official Gomez Fernandez, Ricardo A
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2019
Last updated Oct 10th, 2022 - about 2 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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