Active NPI
Medical Health Group, PLLC
- General Practice Physician
- Brandon, FL
National Provider Identifier
1306646906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDICAL HEALTH GROUP, PLLC
- Practice address
- 1383 Providence Rd
Brandon, FL 33511-4885 - Phone
- (813) 413-6100
- NPI assigned
- Mar 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Bauza-Cruz
- Title
- Office Manager
- Phone
- (813) 413-6100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1383 Providence Rd
Brandon, FL 33511-4885
Mailing address
1383 Providence Rd
Brandon, FL 33511-4885
Phone (813) 413-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2325467 | Medical Health Group PLLC | Certificate of waiver | Jun 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
1383 Providence Rd
Brandon, FL 33511
Phone (813) 413-6100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEHIDD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Bradenton, FL
- NPI 1427131200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1306646906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 PROVIDENCE RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114885",
"telephone_number": "813-413-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1383 PROVIDENCE RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114885",
"telephone_number": "813-413-6100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL HEALTH GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-14",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "BAUZA-CRUZ",
"authorized_official_first_name": "LUIS",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "813-413-6100"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.