Provider Demographics
NPI:1184760290
Name:HEALTHFLO MEDICAL CLINICS, INC.
Entity type:Organization
Organization Name:HEALTHFLO MEDICAL CLINICS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-350-2136
Mailing Address - Street 1:5819 ARGERIAN DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-4159
Mailing Address - Country:US
Mailing Address - Phone:813-994-0800
Mailing Address - Fax:813-994-0866
Practice Address - Street 1:5819 ARGERIAN DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4159
Practice Address - Country:US
Practice Address - Phone:813-994-0800
Practice Address - Fax:813-994-0866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0317Medicare UPIN
FLK0317Medicare PIN