OrganizationEd Medical Therapy Center, Inc.General PracticeAllopathic & Osteopathic PhysiciansPractice Address4311 W Waters Ave, Suit #205, Tampa, FL 33614(813) 407-1591PECOS EnrollmentBased on the most recent information from CMS, provider Ed Medical Therapy Center, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1790060333Provider TypeOrganizationFull NameEd Medical Therapy Center, Inc.SubpartNoEnumeration Date10/14/2011Last Updated5/5/2015Contact InformationPractice LocationPractice Address4311 W Waters Ave, Suit #205, Tampa, FL 33614Phone(813) 407-1591FaxUnlisted FaxMailing LocationMailing Address4311 W Waters Ave, Suite 205, Tampa, FL 33614Phone(813) 407-1591FaxUnlisted FaxAuthorized OfficialNameGomez, Janis (President)Phone(813) 407-1591Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseHCC9274Federated States of Micronesia