NPIMap

Organization Active NPI

Largo Clinic LLC

  • Internal Medicine Physician
  • Largo, FL
National Provider Identifier
1265058622
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LARGO CLINIC LLC
Practice address
10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504
Phone
(727) 517-1500
Fax
(727) 595-5392
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Dr. George K Kamajian, DO
Title
Owner
Phone
(727) 517-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504

Mailing address

10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504
Phone (727) 517-1500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1265058622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD STE 360",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713504",
            "telephone_number": "727-517-1500",
            "fax_number": "727-595-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD STE 360",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713504",
            "telephone_number": "727-517-1500",
            "fax_number": "727-595-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARGO CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "KAMAJIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-517-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.