Provider Demographics
NPI:1083844492
Name:LM CLINICS, LLC
Entity Type:Organization
Organization Name:LM CLINICS, LLC
Other - Org Name:LM MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARMONA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-443-5190
Mailing Address - Street 1:11010 N DALE MABRY HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-3820
Mailing Address - Country:US
Mailing Address - Phone:813-443-5190
Mailing Address - Fax:
Practice Address - Street 1:11010 N DALE MABRY HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-3820
Practice Address - Country:US
Practice Address - Phone:813-443-5190
Practice Address - Fax:813-443-5191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center