Provider Demographics
NPI:1679992614
Name:MSMD, LLC
Entity Type:Organization
Organization Name:MSMD, LLC
Other - Org Name:ACCURATE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:L
Authorized Official - Last Name:COATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-508-1859
Mailing Address - Street 1:701 S HOWARD AVE
Mailing Address - Street 2:STE 106 BOX 143
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2473
Mailing Address - Country:US
Mailing Address - Phone:727-474-9172
Mailing Address - Fax:727-474-9172
Practice Address - Street 1:2401 VETERANS MEMORIAL BLVD
Practice Address - Street 2:STE 16
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-4730
Practice Address - Country:US
Practice Address - Phone:504-472-6130
Practice Address - Fax:504-472-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA014927207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty