| DC Ancillary Solutions, LLC | |
|
1502 S Macdill Ave Tampa FL 33629-5214 | |
| (813) 563-0683 | |
| Not Available |
| Full Name | DC Ancillary Solutions, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1502 S Macdill Ave, Tampa, Florida |
| Authorized Official Name and Position | Elliot David Sherman (MEMBER MANAGER) |
| Authorized Official Contact | 7578319128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| DC Ancillary Solutions, LLC 624 Oleander Way S South Pasadena FL 33707-2116 Ph: (757) 831-9128 | DC Ancillary Solutions, LLC 1502 S Macdill Ave Tampa FL 33629-5214 Ph: (813) 563-0683 |
| NPI Number | 1629658786 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629658786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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