Holy Cross Medical Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HOLY CROSS MEDICAL CENTER, LLC

Doing business as

Dacona Medical Center

Practice address

4109 N Armenia Ave Ste a
Tampa, FL 33607-6411

Phone

(813) 588-3342

Fax

(813) 588-3602

NPI assigned

Mar 5, 2021

Organization subpart

No

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

Authorized official

Name

Estrella Gonzalez

Title

Ceo

Phone

(813) 588-3342

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dacona Medical Center Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24601/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1174118608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 N ARMENIA AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076411",
            "telephone_number": "813-588-3342",
            "fax_number": "813-588-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 N ARMENIA AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076411",
            "telephone_number": "813-588-3342",
            "fax_number": "813-588-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ESTRELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-588-3342"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120219100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111242300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dacona Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dacona Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Mark Holt, DO
• Tyra Marie Holt, PA-C
• Katheryne Maria Holtan, LCSW
• Kelly Holton
• Ashley Holtz, APRN
• Edward S Homan, MD
• James R. Homan, D.O.
• Jennifer Mary Homan, OTR/L
• Shawn Darmond Homans, SPORTS MEDICINE SPEC
• David Homayoun Guerrero

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.