| NPI | 1205562998 |
|---|---|
| Doing Business As | FIDELITY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | FREDDY DURAN Authorized Official 813-438-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |