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General NPI Number Information
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NPI Number | 1174118608
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Entity Type | Organization
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Legal Business Name | HOLY CROSS MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 4109 N ARMENIA AVE STE A
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City | TAMPA
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State | FL
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Zip | 33607-6411
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Country | US
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Telephone | 813-588-3342
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Fax | 813-588-3602
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Provider Business Mailing Address
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Address Line | 4109 N ARMENIA AVE STE A
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City | TAMPA
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State | FL
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Zip | 33607-6411
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Country | US
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Telephone | 813-588-3342
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Fax | 813-588-3602
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Authorized Official
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Title or Position | CEO
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Name | ESTRELLA GONZALEZ
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Credential |
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Telephone | 813-588-3342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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