| Love Family Health Center Corp | |
|
4728 N Habana Ave Ste 101c Tampa FL 33614-7149 | |
| (813) 284-5248 | |
| Not Available |
| Full Name | Love Family Health Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 4728 N Habana Ave Ste 101c, Tampa, Florida |
| Authorized Official Name and Position | Andres Aguiar (PRESIDENT) |
| Authorized Official Contact | 7868362149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Family Health Center Corp 4728 N Habana Ave Ste 101c Tampa FL 33614-7149 Ph: (813) 284-5248 | Love Family Health Center Corp 4728 N Habana Ave Ste 101c Tampa FL 33614-7149 Ph: (813) 284-5248 |
| NPI Number | 1073114278 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 02/08/2025 |
| Certification Date | 02/08/2025 |
| Medicare PECOS PAC ID | 9739575341 |
|---|---|
| Medicare Enrollment ID | O20220407002132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073114278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Oded Shechter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952419145 PECOS PAC ID: 9032273297 Enrollment ID: I20090203000248 |
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