Eminence Medical & Clinical Research Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EMINENCE MEDICAL & CLINICAL RESEARCH INC

Practice address

1419 W Waters Ave
Suite 115
Tampa, FL 33604-2895

Phone

(813) 810-2119

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Roniel Perez

Title

Owner

Phone

(813) 810-2119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1336504307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W WATERS AVE",
            "address_2": "SUITE 115",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042895",
            "telephone_number": "813-810-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W WATERS AVE",
            "address_2": "SUITE 115",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042895",
            "telephone_number": "813-810-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE MEDICAL & CLINICAL RESEARCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RONIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-810-2119"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Emge
• Stephen Emigh, DACM, AP
• Emile C. Commedore MD, PA
• Jeff Emile
• Jessica M Emilut, LMT
• Jeremy T Eminhizer, MOTR/L
• Emjn L.L.C
• Patricia Emmanuel, MD
• Gregg Emmerman
• Taylor Emmerman, APRN

• 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 Dec 17, 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.