| Hmfmd Pllc Doctor Doctor Primary Care Services | |
|
800 W. Martin Luther King Jr. Blvd Suite 4 Tampa FL 33605-1837 | |
| (813) 743-4383 | |
| (888) 713-4253 |
| Full Name | Hmfmd Pllc Doctor Doctor Primary Care Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 W. Martin Luther King Jr. Blvd, Tampa, Florida |
| Authorized Official Name and Position | Henria M Fain (MNGR) |
| Authorized Official Contact | 8137434383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hmfmd Pllc Doctor Doctor Primary Care Services Po Box 75496 Tampa FL 33675-0496 Ph: (813) 743-4383 | Hmfmd Pllc Doctor Doctor Primary Care Services 800 W. Martin Luther King Jr. Blvd Suite 4 Tampa FL 33605-1837 Ph: (813) 743-4383 |
| NPI Number | 1194507921 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 02/17/2025 |
| Medicare PECOS PAC ID | 0042740334 |
|---|---|
| Medicare Enrollment ID | O20250217001553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194507921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Henria M Fain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487836680 PECOS PAC ID: 3072813401 Enrollment ID: I20220707000525 |
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