Active NPI
TCL Medical
- Psychiatric/Mental Health Nurse Practitioner
- Pinellas Park, FL
National Provider Identifier
1093398802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- TCL MEDICAL
- Practice address
- 6613 49TH St N
Pinellas Park, FL 33781-5728 - Phone
- (727) 490-8670
- Fax
- (949) 561-4602
- NPI assigned
- Apr 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Islam Ganie, APRN
- Title
- President
- Phone
- (727) 490-8670
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
6613 49TH St N
Pinellas Park, FL 33781-5728
Mailing address
6613 49TH St N
Pinellas Park, FL 33781-5728
Phone (727) 490-8670
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2217072 | TCL Medical Inc | Certificate of waiver | Mar 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772755200000",
"number": "1093398802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6613 49TH ST N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815728",
"telephone_number": "727-490-8670",
"fax_number": "949-561-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6613 49TH ST N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815728",
"telephone_number": "727-490-8670",
"fax_number": "949-561-4602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TCL MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-29",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A",
"authorized_official_last_name": "GANIE",
"authorized_official_first_name": "ISLAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-490-8670",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.