Provider Demographics
NPI:1528014131
Name:POINT OF CARE CLINIC CENTRAL LLC
Entity Type:Organization
Organization Name:POINT OF CARE CLINIC CENTRAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HASAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:HASHMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-780-9200
Mailing Address - Street 1:1001 LIVINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-6971
Mailing Address - Country:US
Mailing Address - Phone:813-780-9200
Mailing Address - Fax:813-782-3254
Practice Address - Street 1:6725 CEDAR RIDGE DR
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-7515
Practice Address - Country:US
Practice Address - Phone:813-782-5801
Practice Address - Fax:813-782-5732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45295Medicare ID - Type Unspecified