Physical Medicine Center in Tampa - Multi-specialty

Physical Medicine Center - NPI 1902810963

Physical Medicine Center is a Multi-specialty in Tampa, Florida. Physical Medicine Center practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Physical Medicine Center is 1902810963. The last update date is 2010-08-16.

Physical Medicine Center's current location address is 14522 University Point Pl, Tampa, Florida. You can contact this provider via phone number 8139780020 and fax number 8139729024. The mailing address for Physical Medicine Center is 14522 University Point Pl, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Physical Medicine Center
Address 14522 University Point Pl, Tampa, Florida
Phone Number 8139780020
Fax Number 8139729024
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/CLIN
Authorized Official Name Lupo Carl Robert
Credentials D.C.
Telephone Number 8139780020

NPI Number Detail

NPI Number 1902810963
Provider Enumeration Date 2006-07-27
Last Updated Date 2010-08-16

Provider Mailing Address Detail

Address 14522 University Point Pl
City Tampa
State Florida (FL)
Post Code 336135425
Phone Number 8139780020
Fax Number 8139729024

Provider's Primary Taxonomy Detail

Speciality Multi-specialty
Taxonomy 261Qm1300X
Definition:
Provides integrated outpatient care across medical and surgical specialties with referrals under one roof.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22031 FL BCBS
PT9405 FL LICENSE#
CH5346 FL LICENSE#
21592 FL BCBS
CH9181 FL LICENSE NUMBER
ME23061 FL LICENSE#
CH8350 FL LICENSE
12043 FL BCBS
CH8937 FL LICENSE#

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FAQs about Physical Medicine Center

What is the unique 10-digit identification code assigned to Physical Medicine Center by the Centers for Medicare & Medicaid Services?

The Physical Medicine Center has been issued the NPI (National Provider Identifier) 1902810963, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Physical Medicine Center's facilities are geographically located?

The facilities of Physical Medicine Center are physically situated at the following location: 14522 University Point Pl, Tampa, FL, 336135425.

What is the area of specialization for Physical Medicine Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Physical Medicine Center is Multi-specialty, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1300X.

On what date did the Physical Medicine Center receive its 1902810963 assignment from the Centers for Medicare & Medicaid Services?

The Physical Medicine Center was assigned its 1902810963 by the Centers for Medicare & Medicaid Services on 2006-07-27.

When was the information regarding Physical Medicine Center most recently updated?

The details pertaining to the Physical Medicine Center, including its address, specialty, and other relevant information, were last refreshed on 2010-08-16.

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