Meditech Medical Centers, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME86710 Issued in FL

Legal business name

MEDITECH MEDICAL CENTERS, LLC

Practice address

5110 N Habana Ave
Suite 2
Tampa, FL 33614-6909

Phone

(813) 915-9000

Fax

(813) 930-2701

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Caretto

Title

Chief Financial MGR

Phone

(813) 315-9896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1306237672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116220",
            "telephone_number": "813-315-9896",
            "fax_number": "813-662-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 N HABANA AVE",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146909",
            "telephone_number": "813-915-9000",
            "fax_number": "813-930-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITECH MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "CARETTO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL MGR",
        "authorized_official_telephone_number": "813-315-9896",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME86710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.