Organization Active NPI

Clinic of Plant City, LLC

  • Urgent Care Clinic/Center
  • Plant City, FL
National Provider Identifier
1417336413
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
9280973 Issued in FL
Legal business name
CLINIC OF PLANT CITY, LLC
Practice address
802 W Martin Luther King Blvd
Suite a
Plant City, FL 33563-5105
Phone
(813) 754-7999
Fax
(813) 754-7111
NPI assigned
May 22, 2015
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Ginger Singletary, ARNPNPI 1205277134
Title
Owner
Phone
(813) 754-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 9280973 FL Primary

Addresses

Primary practice location

802 W Martin Luther King Blvd
Suite a
Plant City, FL 33563-5105

Mailing address

802 W Martin Luther King Blvd
Suite a
Plant City, FL 33563-5105
Phone (813) 754-7999

Other identifiers 1

IdentifierTypeStateIssuer
015015800MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2085348Clinic of Plant City, the802 W Martin Luther King Jr Blvd Ste a, Plant City, FL 33563Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Locations

802 W Martin Luther King Blvd
Ste A
Plant City, FL 33563
Phone (813) 754-3593

802 W Martin Luther King Blvd
Ste C
Plant City, FL 33563
Phone (813) 754-7999

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1417336413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W MARTIN LUTHER KING BLVD",
            "address_2": "SUITE A",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635105",
            "telephone_number": "813-754-7999",
            "fax_number": "813-754-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W MARTIN LUTHER KING BLVD",
            "address_2": "SUITE A",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635105",
            "telephone_number": "813-754-7999",
            "fax_number": "813-754-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC OF PLANT CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "SINGLETARY",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-754-7999",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "9280973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015015800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.