MEDICARE: BIO MEDICAL APPLICATIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center		FL

General Provider Information

NPI Number	:	1629250857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIO MEDICAL APPLICATIONS

Provider Business Mailing Address
First Line	:	5625 W WATERS AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-1226
Country	:	US
Telephone Number	:	813-884-8849
Fax Number	:	813-884-8819

Provider Business Practice Location Address
First Line	:	5625 W WATERS AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-1226
Country	:	US
Telephone Number	:	813-884-8849
Fax Number	:	813-884-8819

Authorized Official
Title or Position	:	PATIENT ACCOUNT REP
Name	:	SUILEIN MOCK
Credential	:
Telephone Number	:	813-884-8849

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	07/21/2022

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