Provider Demographics
NPI:1891164398
Name:MEMON HEALTH ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MEMON HEALTH ASSOCIATES, LLC
Other - Org Name:TAMPA URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMERA
Authorized Official - Middle Name:H
Authorized Official - Last Name:MEMON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-326-1964
Mailing Address - Street 1:12950 RACE TRACK RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1309
Mailing Address - Country:US
Mailing Address - Phone:813-616-8810
Mailing Address - Fax:813-616-8809
Practice Address - Street 1:12950 RACE TRACK RD
Practice Address - Street 2:SUITE 106
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1309
Practice Address - Country:US
Practice Address - Phone:813-616-8810
Practice Address - Fax:813-616-8809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care