Provider Demographics
NPI:1548470040
Name:AMERICA BEST CLINIC INC
Entity type:Organization
Organization Name:AMERICA BEST CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-514-6623
Mailing Address - Street 1:7219 BENJAMIN RD STE D
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-3012
Mailing Address - Country:US
Mailing Address - Phone:813-514-6623
Mailing Address - Fax:813-249-2536
Practice Address - Street 1:7219 BENJAMIN RD STE D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-3012
Practice Address - Country:US
Practice Address - Phone:813-514-6623
Practice Address - Fax:813-249-2536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC 7340261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMM 18754Medicare UPIN