Angel Medical Clinic, Llc

LBN: Angel Medical Clinic, Llc
Angel Medical Clinic, Llc is an health care organization with primary practice located at 8001 N Dale Mabry Hwy Ste 701 , Tampa FL 33614-3218. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Angel Medical Clinic, Llc can be contacted via phone (813) 304-2330, or through Ikudayisi, David Omotayo via phone (813) 304-2330.

Contact Information

Primary practice address
8001 N Dale Mabry Hwy Ste 701 Tampa FL 33614-3218
Phone: (813) 304-2330
Fax: (813) 304-2346
Website:
Map and Directions
Authorized official contact:
Name: Ikudayisi, David Omotayo Doctor of Medicine (MD)
Phone: (813) 304-2330

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1881178242
LBN Legal business name Angel Medical Clinic, Llc
DBA Doing business as
Authorized official Ikudayisi, David Omotayo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2018
Last updated Sep 21st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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