Healthcare Provider Details

I. General information

NPI: 1982839510
Provider Name (Legal Business Name): RELIEF MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N HABANA AVE SUITE 701
TAMPA FL
33614-7160
US

IV. Provider business mailing address

4700 N HABANA AVE SUITE 701
TAMPA FL
33614-7160
US

V. Phone/Fax

Practice location:
  • Phone: 813-374-9233
  • Fax: 813-443-5046
Mailing address:
  • Phone: 813-374-9233
  • Fax: 813-443-5046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME67043
License Number StateFL

VIII. Authorized Official

Name: DR. EMMANUEL ACOSTA
Title or Position: OWNER
Credential: MD
Phone: 813-374-9233