Healthcare Provider Details

I. General information

NPI: 1134673098
Provider Name (Legal Business Name): MEDTECH MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2016
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 HENDERSON BLVD STE 500
TAMPA FL
33629-5037
US

IV. Provider business mailing address

3825 HENDERSON BLVD STE 500
TAMPA FL
33629-5037
US

V. Phone/Fax

Practice location:
  • Phone: 813-282-1609
  • Fax:
Mailing address:
  • Phone: 813-282-1609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA MORGAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 813-786-3067