ED MEDICAL THERAPY CENTER, INC. – NPI #1790060333
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

ED MEDICAL THERAPY CENTER, INC. is a provider located in TAMPA, FL. NPPES has assigned the NPI number 1790060333 to ED MEDICAL THERAPY CENTER, INC. on October 14, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 11 years ago on May 05, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ED MEDICAL THERAPY CENTER, INC. below.

NPI Profile for
ED MEDICAL THERAPY CENTER, INC.

NPI Number
1790060333
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ED MEDICAL THERAPY CENTER, INC.
Former Legal Business Name: ED MEDICAL THERAPY CENTER, INC.
Primary location
4311 W WATERS AVE
SUIT #205
TAMPA, FL 33614
Phone: (813) 407-1591 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JANIS GOMEZ
PRESIDENT
Phone: (813) 407-1591
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 FM HCC9274

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.