| Cumedica Doctors Center | |
|
4618 N Armenia Ave Tampa FL 33603-2706 | |
| (813) 997-6042 | |
| Not Available |
| Full Name | Cumedica Doctors Center |
|---|---|
| Speciality | General Practice |
| Location | 4618 N Armenia Ave, Tampa, Florida |
| Authorized Official Name and Position | Mayra Lopez (OWNER) |
| Authorized Official Contact | 8135098083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumedica Doctors Center 8904 W Hamilton Ave Tampa FL 33615-2726 | Cumedica Doctors Center 4618 N Armenia Ave Tampa FL 33603-2706 Ph: (813) 997-6042 |
| NPI Number | 1093378101 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 10/15/2020 |
| Certification Date | 09/23/2020 |
| Medicare PECOS PAC ID | 4880929975 |
|---|---|
| Medicare Enrollment ID | O20190711001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093378101 | NPI | - | NPPES |
| 103116700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Mayra Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558568816 PECOS PAC ID: 3274622329 Enrollment ID: I20130927000290 |
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