Active NPI
Florida Medical Clinic LLC
- Durable Medical Equipment & Medical Supplies
- Dade City, FL
National Provider Identifier
1740522754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FLORIDA MEDICAL CLINIC LLC
- Practice address
- 13417 US Highway 301
Suite B
Dade City, FL 33525-5446 - Phone
- (813) 778-0440
- Fax
- (813) 355-5019
- NPI assigned
- Mar 18, 2013
- Organization subpart
- No
NPPES NPI Registry
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) 780-8440
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | FL | Primary |
Addresses
Primary practice location
13417 US Highway 301
Suite B
Dade City, FL 33525-5446
Mailing address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 780-1255
Other names 1
- Florida Medical Clinic DME DC
National Provider Directory
National Provider DirectoryLocations
13417 US Highway 301
Ste B
Dade City, FL 33525
Phone (352) 521-3967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584576000000",
"number": "1740522754",
"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": "813-780-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13417 US HIGHWAY 301",
"address_2": "SUITE B",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255446",
"telephone_number": "813-778-0440",
"fax_number": "813-355-5019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA MEDICAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-18",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A",
"authorized_official_last_name": "DELATORRE",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-780-8440"
},
"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": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Medical Clinic DME DC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Florida Medical Clinic DME DC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.