Provider Demographics
NPI:1609332071
Name:MIDFLORIDA CLINICAL RESEARCH,INC
Entity Type:Organization
Organization Name:MIDFLORIDA CLINICAL RESEARCH,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPIZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MBA,CCRC
Authorized Official - Phone:813-563-4110
Mailing Address - Street 1:110 LITHIA PINECREST RD STE H
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5300
Mailing Address - Country:US
Mailing Address - Phone:813-563-4110
Mailing Address - Fax:
Practice Address - Street 1:110 LITHIA PINECREST RD STE H
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5300
Practice Address - Country:US
Practice Address - Phone:813-563-4110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME106415OtherCLINICAL TRIALS