Provider Demographics
NPI:1407998800
Name:FIRST MEDICAL CENTER OF TAMPA, INC
Entity Type:Organization
Organization Name:FIRST MEDICAL CENTER OF TAMPA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FREDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LAS CASAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-205-1345
Mailing Address - Street 1:8316 HANLEY RD
Mailing Address - Street 2:SUITE 3-4
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-2284
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8316 HANLEY RD
Practice Address - Street 2:SUITE 3-4
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-2284
Practice Address - Country:US
Practice Address - Phone:813-205-1345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Multi-Specialty