Provider Demographics
NPI:1801399878
Name:TESLA MEDICAL LLC
Entity Type:Organization
Organization Name:TESLA MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-420-4470
Mailing Address - Street 1:8401 BENJAMIN RD STE C
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-1203
Mailing Address - Country:US
Mailing Address - Phone:727-420-4470
Mailing Address - Fax:
Practice Address - Street 1:8401 BENJAMIN RD STE C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-1203
Practice Address - Country:US
Practice Address - Phone:727-420-4470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies