Organization Active NPI

West Tampa Medical Group,LLC

Doing business as Revello Medical Center

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1144522988
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WEST TAMPA MEDICAL GROUP,LLC
Doing business as
Revello Medical Center
Practice address
2601 N Himes Ave
Tampa, FL 33607-2112
Phone
(813) 873-8071
Fax
(813) 877-4031
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Antonio Calvo Jr.
Title
Coo
Phone
(813) 888-8215

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2601 N Himes Ave
Tampa, FL 33607-2112

Mailing address

5901 Webb Rd
Tampa, FL 33615-3219
Phone (813) 888-8215

Other names 1

  • Revello Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2104991West Tampa Medical Group LLC2601 N Himes Ave, Tampa, FL 33607Certificate of waiverNov 16, 2027

National Provider Directory

National Provider Directory

Locations

2601 N Himes Ave
Tampa, FL 33607
Phone (813) 873-8071

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": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1144522988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153219",
            "telephone_number": "813-888-8215",
            "fax_number": "813-885-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072112",
            "telephone_number": "813-873-8071",
            "fax_number": "813-877-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TAMPA MEDICAL GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "CALVO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-888-8215",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revello Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 10, 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.

Verify at the official NPI Registry.