Organization Active NPI

Meditech Medical Centers, LLC

  • Internal Medicine Physician
  • Brandon, FL
National Provider Identifier
1326203977
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100987 Issued in FL
Legal business name
MEDITECH MEDICAL CENTERS, LLC
Practice address
1783 S. Kings Ave.
Brandon, FL 33511-6220
Phone
(813) 315-9896
Fax
(813) 662-4818
NPI assigned
Jul 23, 2008
Last updated
Aug 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Pedro Caretto
Title
Financial MGR
Phone
(813) 315-9896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME100987 FL Primary

Addresses

Primary practice location

1783 S. Kings Ave.
Brandon, FL 33511-6220

Mailing address

1783 S. Kings Ave
Brandon, FL 33511-6220
Phone (813) 315-9896

National Provider Directory

National Provider Directory

Locations

4714 N Armenia Ave
Ste 100
Tampa, FL 33603
Phone (813) 443-5224

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1326203977",
    "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": "1783 S. KINGS AVE.",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116220",
            "telephone_number": "813-315-9896",
            "fax_number": "813-662-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITECH MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "CARETTO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "FINANCIAL MGR",
        "authorized_official_telephone_number": "813-315-9896"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100987",
            "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 Aug 3, 2011; 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.