Nodal Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN693 Issued in FL

Legal business name

NODAL MEDICAL CENTER LLC

Practice address

2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545

Phone

(813) 488-4801

Fax

(813) 405-4506

NPI assigned

Jun 12, 2017

Last updated

Jun 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Osvanny Nodal, MDNPI 1467859660

Title

Medical Doctor

Phone

(813) 488-4801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Osvanny Nodal, MD

  • General Practice Physician
  • Tampa, FL
  • NPI 1467859660
  Medicare reassignment Care Compare group NPD Authorized official
• Cecilia De la Caridad Cruz Almaguer, RN, MSN, ARNP, FNP

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1225630353
  Medicare reassignment Care Compare group NPD
• Yaritza Nunez Martinez, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1376429910

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Anilsy Pando

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1700681624
  Medicare reassignment Care Compare group NPD
• Beatriz Calero Morales

  • Nurse Practitioner
  • Port Richey, FL
  • NPI 1336816610
  Medicare reassignment NPD
• Juan Carlos Fernandez, MD

  • General Practice Physician
  • Port Richey, FL
  • NPI 1275656449
  Medicare reassignment NPD

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1114457272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-488-4801",
            "fax_number": "813-405-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-488-4801",
            "fax_number": "813-405-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NODAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "NODAL",
        "authorized_official_first_name": "OSVANNY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "813-488-4801",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Joseph Nobles, DO
• Karen G. Noblitt, PT
• Hondrey Noda Jr.
• Lissette Noda, DPT
• Lauren Nodal Cartaya
• Jessica Nodal, LAT, ATC
• Osvanny Nodal, MD
• Rondi Kylian Noden, MSW
• Lisa A Nodzon, ARNP
• Icledanne Noel-Accilien, APRN

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.