MEDICARE: BEST CARE MEDICAL CENTER

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	HCC6551	FL

General Provider Information

NPI Number	:	1437368016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CARE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2702 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1837
Country	:	US
Telephone Number	:	813-935-7490
Fax Number	:	813-935-7490

Provider Business Practice Location Address
First Line	:	2702 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1837
Country	:	US
Telephone Number	:	813-935-7490
Fax Number	:	813-935-7490

Authorized Official
Title or Position	:	OWNER
Name	:	ARMANDO B ANGULO
Credential	:
Telephone Number	:	813-935-7490

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/22/2020

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