Organization · Type 2 NPI
Main Street Medical Clinic
Specialist · Thonotosassa, FL
NPI number
1346570389
Active
Practice location
10802 E. Main St, Ste B
Thonotosassa, FL 33592-2840
Fax (813) 413-8310
Mailing address
10802 E. Main Street,, Ste. B
Thonotossassa, FL 33592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME88205 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Thonotosassa
About NPI 1346570389
Main Street Medical Clinic's National Provider Identifier is 1346570389, issued on Jan 13, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Thonotosassa, FL. The record was last updated on Jan 13, 2010.