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NPI Code Detail

MEDICARE: MEDCENTRAL CORPORATION

MEDICARE: MEDCENTRAL CORPORATION
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
1111N00000XChiropractor
2225100000XPhysical Therapist
3261QM1300XMulti-Specialty Clinic/Center
4207X00000XOrthopaedic Surgery Physician
5208100000XPhysical Medicine & Rehabilitation Physician
62084N0400XNeurology Physician
7208D00000XGeneral Practice Physician
8332B00000XDurable Medical Equipment & Medical Supplies
9261QP2300XPrimary Care Clinic/CenterME0042771FL

Other Identifiers

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

General Provider Information

NPI Number : 1447461355
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDCENTRAL CORPORATION
Provider Business Mailing Address
First Line : 7108 CAUSEWAY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33619-6364
Country : US
Telephone Number : 813-628-4400
Fax Number : 813-628-4500
Provider Business Practice Location Address
First Line : 7108 CAUSEWAY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33619-6364
Country : US
Telephone Number : 813-628-4400
Fax Number : 813-628-4500
Authorized Official
Title or Position : OWNER
Name : DENCY RIVAS
Credential :
Telephone Number : 813-628-4400
Provider Enumeration Date : 05/24/2007
Last Update Date : 08/06/2020

Similar Medicare Providers

1861493900 — DENCY RIVAS M.D.
Practice Location Address:
7108 CAUSEWAY BLVD
TAMPA, FL
33619-6364
Practice Phone: 813-628-4400
Practice Fax: 813-628-4500
1457656373 — MY PHARMACY OF TAMPA LLC
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1710278890 — MRS. DAMARIS RODRIGUEZ VIEIRA ARNP
Practice Location Address:
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1629348958 — TIN HUY NGUYEN PHARM.D.
Practice Location Address:
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Practice Fax: 813-628-4442
1730596784 — CRYSTAL LONGORIA NP
Practice Location Address:
7108 CAUSEWAY BLVD
TAMPA, FL
33619-6364
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Practice Fax:
1336735216 — DR. TRANG NGUYEN PHARMACIST
Practice Location Address:
7108 CAUSEWAY BLVD
TAMPA, FL
33619-6364
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Practice Fax:

Directions to “MEDCENTRAL CORPORATION ” Practice Location

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