360 Degree Medical Care PA
Organization Active NPI Internal Medicine Physician · Tampa, FL
NPI 1760916696 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1760916696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- 360 DEGREE MEDICAL CARE PA
- Practice address
- 3111 W San Jose St
Tampa, FL 33629-7247 - Phone
- (813) 446-5460
- NPI assigned
- Apr 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Rena Mehta, MD
- Title
- MD
- Phone
- (813) 446-5460
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
3111 W San Jose St
Tampa, FL 33629-7247
Mailing address
3111 W San Jose St
Tampa, FL 33629-7247
Phone (813) 446-5460
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.