Provider Demographics
NPI:1356741037
Name:HMS MEDICALSERVICES CORP
Entity type:Organization
Organization Name:HMS MEDICALSERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-932-1410
Mailing Address - Street 1:7827 N DALE MABRY HWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3288
Mailing Address - Country:US
Mailing Address - Phone:813-932-1410
Mailing Address - Fax:813-932-1036
Practice Address - Street 1:7827 N DALE MABRY HWY
Practice Address - Street 2:SUITE 108
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3288
Practice Address - Country:US
Practice Address - Phone:813-932-1410
Practice Address - Fax:813-932-1036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55872261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service