Healthflo Medical Clinics Inc
Organization Active NPI Rural Health Clinic/Center · Ridge Manor, FL
NPI 1164568275 · NPPES record last updated Dec 31, 2025
Key facts
- NPI
- 1164568275
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- HEALTHFLO MEDICAL CLINICS INC
- Practice address
- 34498 Cortez Blvd
Ridge Manor, FL 33523-8908 - Phone
- (352) 583-4520
- Fax
- (352) 583-5527
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Basim Ahmed
- Title
- Chief Operating Officer
- Phone
- (352) 568-1988
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 1
Practitioners 24
-
Mahmud U Ahmed, M.D.
-
Mark D Bowden, D.O.
-
Brendalis Davila Rolon, M.D.
-
Nayte Tabraue Castro, APRN-CNP
-
Yamelky Castro Estivez, APRN
-
Laura Gonzalez Licourt, APRN
-
Naomi B Corey, LCSW
-
Linda L Criswell, PA-C
-
Therese M. Hulme, ARNP
-
Karen Lord, DC
-
Angel Gabriel Pagan, M. D.
-
James Louis Walsh, D.C.
-
Jinoo Tommy Lee, M.D.
-
Neeraj Mahajan, MD
-
Mari K Thomas, DO
-
Mamron Hyndman Warner, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0942463 | Healthflo Medical Clinics Inc | Certificate of waiver | Mar 11, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Rural health clinic certification: CCN 103804
- Legal name
- HEALTHFLO MEDICAL CLINICS INC
- Doing business as
- RIDGE MANOR MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Mar 26, 2009
- Last certification
- Sep 21, 2020
- Ownership / control type
- 1B
- Organization structure
- Corporation · Proprietary
- Incorporated
- May 17, 1996 in FL
- Enrollment address
- 34498 Cortez Blvd
Ridge Manor, FL 33523-8975
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Basim M Ahmed |
Corporate Officer |
Jan 1, 2014 | |
| W-2 Managing Employee |
Jan 1, 2014 | 100% | |
| Mehr Ahmed |
5% Or Greater Direct Ownership Interest | Nov 21, 2013 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051118000564 | FL | Part B Supplier - Clinic/Group Practice | 8426966854 |
Receives reassigned benefits from 9 practitioners 3 other NPIs on this enrollment Practice locations: Bushnell, FL; Wesley Chapel, FL; Ridge Manor, FL |
| O20090107000381 | FL | Part a Provider - Rural Health Clinic | 8426966854 | Practice locations: Ridge Manor, FL |
National Provider Directory
Locations
117 W Belt Ave
Bushnell, FL 33513
Phone (352) 287-1205
34498 Cortez Blvd
Ridge Manor, FL 33523
Phone (352) 583-4520
5854 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 588-2028
5819 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | ME0066026 | FL | |
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
34498 Cortez Blvd
Ridge Manor, FL 33523-8908
Mailing address
34498 Cortez Blvd
Ridge Manor, FL 33523-8908
Phone (352) 583-4520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38227A | Other | FL | BCBS |
Other names
- Ridge Manor Medical Clinic
Other providers in Ridge Manor, FL
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- Rafael Carlos Crespo
- Family Dental Care
- Great Grandma'S Tender, Love and Care, Inc
- Cassandra Stephanie Hall
- Heidi Lutz LLC
- Kerry Hernandez
- Joseph Janiczek
- Brittany Maria Johnson
- Juan Pablo Lopez Gonzalez
All providers in Ridge Manor, FL · Rural Health Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.