Mutual Family Health LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME47234 Issued in FL

Legal business name

MUTUAL FAMILY HEALTH LLC

Doing business as

Mutual Family Health Multispecialty Clinic

Practice address

6702 W Linebaugh Ave
Tampa, FL 33625-4953

Phone

(813) 630-3059

Fax

(813) 630-3094

NPI assigned

Apr 9, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Yezabell M Figueroa, MGRM

Title

Member Manager

Phone

(813) 630-3059

Specialties & licenses 6

Addresses

Other names 1

• Mutual Family Health Multispecialty Clinic Doing business as

Locations

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174942981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254953",
            "telephone_number": "813-630-3059",
            "fax_number": "813-630-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254953",
            "telephone_number": "813-630-3059",
            "fax_number": "813-630-3094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8865 Commodity Cir Ste 7",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328199077",
            "country_code": "US",
            "telephone_number": "407-792-4110",
            "fax_number": "407-930-0716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUTUAL FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "YEZABELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "813-630-3059",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MGRM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME103373",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME130375",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME47234",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ARNP9235999",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME47234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mutual Family Health Multispecialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.