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Main Street Medical Clinic
Specialist in Thonotosassa, Florida
NPI 1346570389

Main Street Medical Clinic is a Specialist based in Thonotossassa, FL. Main Street Medical Clinic practices in Thonotosassa, FL. The NPI Number for Main Street Medical Clinic is 1346570389 and holds a License No. ME88205 (Florida).

The current practice location address for Main Street Medical Clinic is 10802 E. Main St, Thonotosassa, FL and can be reached out via phone at 813-413-8258 and via fax at 813-413-8310.

Location: 10802 E. Main St, Thonotosassa, FL, 33592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346570389
Provider Name
Main Street Medical Clinic
Credential
Provider Entity Type
Organization
Address
10802 E. Main St, Thonotosassa, FL, 33592
Phone Number
813-413-8258
Fax Number
813-413-8310
Provider Enumeration Date
01/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10802 E. Main St
City
Thonotosassa
State
Florida
Zip
33592-2840
Phone Number
813-413-8258
Fax Number
813-413-8310
person
Provider Business Mailing Address Details
Address
10802 E. Main St
City
Thonotosassa
State
Florida
Zip
33592-2840
Phone Number
813-413-8258
Fax Number
813-413-8310
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME88205 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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