Provider Demographics
NPI:1790818508
Name:MEDHOPECARECENTERSINC
Entity type:Organization
Organization Name:MEDHOPECARECENTERSINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:941-752-1700
Mailing Address - Street 1:4401 85TH AVENUE CIR E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-1907
Mailing Address - Country:US
Mailing Address - Phone:727-415-1395
Mailing Address - Fax:941-776-1238
Practice Address - Street 1:4401 85TH AVENUE CIR E
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-1907
Practice Address - Country:US
Practice Address - Phone:727-415-1395
Practice Address - Fax:941-776-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center