OrganizationNorth Park Medical CenterGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address6800 N Dale Mabry Hwy, Ste 198, Tampa, FL 33614-3997(813) 935-1944PECOS EnrollmentBased on the most recent information from CMS, provider North Park Medical Center 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 ID1962755520Provider TypeOrganizationFull NameNorth Park Medical CenterSubpartNoEnumeration Date10/19/2012Last Updated10/19/2012Contact InformationPractice LocationPractice Address6800 N Dale Mabry Hwy, Ste 198, Tampa, FL 33614-3997Phone(813) 935-1944Fax(813) 884-1955Mailing LocationMailing Address6800 N Dale Mabry Hwy, Ste 198, Tampa, FL 33614-3997Phone(813) 935-1944Fax(813) 884-1955Authorized OfficialNameMiranda Genaro, Luis (President)Phone(813) 935-1944Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer