Organization Active NPI

P.V.C. Medical Center, Inc.

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1093917767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC6469 Issued in FL
Legal business name
P.V.C. MEDICAL CENTER, INC.
Practice address
3260 W Hillsborough Ave
# 111
Tampa, FL 33614-5902
Phone
(813) 873-9369
Fax
(813) 873-9386
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jose Antonio Plasencia
Title
Owner
Phone
(813) 873-9369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC6469 FL Primary

Addresses

Primary practice location

3260 W Hillsborough Ave
# 111
Tampa, FL 33614-5902

Mailing address

3260 W Hillsborough Ave
# 111
Tampa, FL 33614-5902
Phone (813) 873-9369

National Provider Directory

National Provider Directory
Tax ID family
P V C Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3260 W Hillsborough Ave
Ste 111
Tampa, FL 33614
Phone (813) 873-9369

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093917767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 W HILLSBOROUGH AVE",
            "address_2": "# 111",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145902",
            "telephone_number": "813-873-9369",
            "fax_number": "813-873-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 W HILLSBOROUGH AVE",
            "address_2": "# 111",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145902",
            "telephone_number": "813-873-9369",
            "fax_number": "813-873-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.V.C. MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLASENCIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-873-9369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.