Provider Demographics
NPI:1467994384
Name:DOCCARE LLC
Entity Type:Organization
Organization Name:DOCCARE LLC
Other - Org Name:DOCCARE MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYANT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-415-0100
Mailing Address - Street 1:3505 E HILLSBOROUGH AVE
Mailing Address - Street 2:102
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-4543
Mailing Address - Country:US
Mailing Address - Phone:813-415-0100
Mailing Address - Fax:813-415-0200
Practice Address - Street 1:3505 E HILLSBOROUGH AVE
Practice Address - Street 2:102
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-4543
Practice Address - Country:US
Practice Address - Phone:813-415-0100
Practice Address - Fax:813-415-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty