MEDI CLINICS PRIMARY CARE LLC NPI 1609120534

NPI Information

NPI: 1609120534
Provider Name: MEDI CLINICS PRIMARY CARE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2110420

Address:
502 S MACDILL AVE
TAMPA, FL
ZIP 33609
Phone: (813) 465-9999
Get Directions

MEDI CLINICS PRIMARY CARE LLC is a multi-specialty clinic center in Tampa, FL. MEDI CLINICS PRIMARY CARE LLC NPI is 1609120534. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

502 S MACDILL AVE
TAMPA, FL
ZIP 33609-039
Phone: (813) 465-9999
Fax: (813) 831-6292

The provider's authorized official is Venkata Jaya Pratap Bireddy .
The authorized official title is Owner/administrator and has the following contact phone number (813) 465-9999.

The CLIA number assigned to this NPI record is 10D2110420 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 1/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	2081S0010X	Physical Medicine & Rehabilitation	Sports Medicine	No
3	261QP2300X	Clinic/Center	Primary Care	No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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