Healthcare Provider Details

I. General information

NPI: 1578119087
Provider Name (Legal Business Name): 6TH MEDICAL GROUP THIRD PARTY COLLECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9208 KING PALM DR
TAMPA FL
33619-1328
US

IV. Provider business mailing address

3250 ZEMKE AVE BLDG 1075
TAMPA FL
33621-5023
US

V. Phone/Fax

Practice location:
  • Phone: 813-827-9126
  • Fax:
Mailing address:
  • Phone: 813-827-9126
  • Fax: 813-828-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332000000X
TaxonomyMilitary/U.S. Coast Guard Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROSEMARY GONZALEZ
Title or Position: MTF SUPPORT
Credential:
Phone: 210-536-6096