Organization · Type 2 NPI
Main Street Medical LLC
Primary Care Clinic/Center · Tampa, FL
NPI number
1487079505
Active
Practice location
10549 N Florida Ave Ste A
Tampa, FL 33612-6707
Fax (813) 440-6484
Mailing address
PO Box 17175
Tampa, FL 33682-7175
Other practice locations
- 6506 Embassy Blvd, Port Richey, FL 34668-4734 · (727) 387-8228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician | 207QA0505X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1487079505
Main Street Medical LLC's National Provider Identifier is 1487079505, issued on Feb 26, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Tampa, FL. The record was last updated on Oct 3, 2024.