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1982261681
SOUTH CARE MEDICAL, LLC
TAMPA, FL
NPI
1982261681
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Entity Type
Organization
Authorized Contact
ALEJANDRO GONZALEZ
Owner
813-770-7169
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
SOUTH CARE MEDICAL, LLC
6822 W WATERS AVE
TAMPA, FL 33634
Phone number: 813-969-1700
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Mailing Address
SOUTH CARE MEDICAL, LLC
4522 W VILLAGE DR STE 202
TAMPA, FL 33624-3429
Phone number: 813-969-1700
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