Florida Medical Clinic LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FLORIDA MEDICAL CLINIC LLC

Practice address

2020 Town Center Blvd
Suite B
Brandon, FL 33511-2906

Phone

(813) 315-1500

Fax

(813) 377-1687

NPI assigned

Apr 5, 2016

Organization subpart

Yes

Parent organization

FLORIDA MEDICAL CLINIC LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joe Delatorre

Title

Ceo

Phone

(813) 780-8774

Specialties & licenses 2

Addresses

Other names 1

• Florida Medical Brandon Town DME Other name

Part of

Florida Medical Clinic LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1386007474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-528-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TOWN CENTER BLVD",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112906",
            "telephone_number": "813-315-1500",
            "fax_number": "813-377-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MEDICAL CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA MEDICAL CLINIC LLC",
        "enumeration_date": "2016-04-05",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "DELATORRE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-780-8774"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Medical Brandon Town DME",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Florida Medical Brandon Town DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Florida Medical Clinic LLC
• Florida Medical Clinic LLC
• Florida Medical Clinic, LLC
• Florida Medical Clinic, LLC
• Florida Medical Clinic, LLC
• Florida Medical Clinic, LLC

• Durable Medical Equipment & Medical Supplies in Brandon, FL
• Providers in Brandon, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.