| El Sol Medical Center Inc | |
|
2511 W Virginia Ave Tampa FL 33607-6310 | |
| (813) 350-0051 | |
| (813) 350-0053 |
| Full Name | El Sol Medical Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2511 W Virginia Ave, Tampa, Florida |
| Authorized Official Name and Position | Julio Martinez Cardenas (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 8135466693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Sol Medical Center Inc 2511 W Virginia Ave Tampa FL 33607-6310 Ph: (813) 350-0051 | El Sol Medical Center Inc 2511 W Virginia Ave Tampa FL 33607-6310 Ph: (813) 350-0051 |
| NPI Number | 1154936904 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154936904 | NPI | - | NPPES |
| HCC12060 | Other | FL | ACHA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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