Organization Active NPI

Carlos a Labrador Mdpa

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1376753350
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME85732 Issued in FL
Legal business name
CARLOS A LABRADOR MDPA
Practice address
6775 Crosswinds Dr N
St Petersburg, FL 33710-5471
Phone
(727) 381-8006
Fax
(727) 381-9629
NPI assigned
May 22, 2007
Last updated
Nov 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Dr. Carlos A Labrador, MDNPI 1245230796
Title
Physician
Phone
(727) 381-8006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME85732 FL Primary

Addresses

Primary practice location

6775 Crosswinds Dr N
St Petersburg, FL 33710-5471

Mailing address

65 65TH St S
St Petersburg, FL 33707-1338
Phone (727) 381-8006

Other identifiers 1

IdentifierTypeStateIssuer
269616900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040626000227 FL Part B Supplier - Clinic/Group Practice 3274519681 Receives reassigned benefits from 13 practitioners
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

2191 9th Ave N
Ste 220
St Petersburg, FL 33713
Phone (727) 327-9667

65 65th St S
St Petersburg, FL 33707
Phone (813) 733-8774

6560 9th Ave N
Ste 1
St Petersburg, FL 33710
Phone (727) 686-1072

108 S Pebble Beach Blvd
Sun City Ctr, FL 33573
Phone (813) 235-4515

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1376753350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 65TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071338",
            "telephone_number": "727-381-8006",
            "fax_number": "727-381-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 CROSSWINDS DR N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105471",
            "telephone_number": "727-381-8006",
            "fax_number": "727-381-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A LABRADOR MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "LABRADOR",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-381-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269616900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.