MEDICARE: A & A MEDICAL CENTER,LLC

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	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316464746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & A MEDICAL CENTER,LLC

Provider Business Mailing Address
First Line	:	2916 W WATERS AVE STE A2
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1869
Country	:	US
Telephone Number	:	813-450-3709
Fax Number	:	813-450-3709

Provider Business Practice Location Address
First Line	:	2916 W WATERS AVE STE A2
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1869
Country	:	US
Telephone Number	:	813-450-3709
Fax Number	:	813-450-3709

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANA CECILIA REYES
Credential	:
Telephone Number	:	813-450-3707

Provider Enumeration Date	:	08/25/2017
Last Update Date	:	07/21/2022

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Directions to “A & A MEDICAL CENTER,LLC ” Practice Location

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