Organization Active NPI

SQ2 Medical PLLC

Doing business as SQ2 Primary Care

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1427659002
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SQ2 MEDICAL PLLC
Doing business as
SQ2 Primary Care
Practice address
13172 N Dale Mabry Hwy
Tampa, FL 33618-2406
Phone
(813) 374-8981
Fax
(813) 521-7422
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Qilin LuNPI 1467749119
Title
MD/Owner
Phone
(813) 374-8981

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13172 N Dale Mabry Hwy
Tampa, FL 33618-2406

Mailing address

13172 N Dale Mabry Hwy
Tampa, FL 33618-2406
Phone (813) 374-8981

Other practice location 1

23079 Tabak Ln
Land O Lakes, FL 34639-5230
Phone (813) 803-3060

Other names 1

  • SQ2 Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210322001630 FL Part B Supplier - Clinic/Group Practice 7315354271 Receives reassigned benefits from 3 practitioners
Practice locations: Land O Lakes, FL; Tampa, FL

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
10D2208160SQ2 Primary Care13172 N Dale Mabry Hwy, Tampa, FL 33618Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory

Locations

23079 Tabak Ln
Land O Lakes, FL 34639
Phone (813) 803-3060

13172 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 374-8981

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1427659002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13172 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182406",
            "telephone_number": "813-374-8981",
            "fax_number": "813-521-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13172 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182406",
            "telephone_number": "813-374-8981",
            "fax_number": "813-521-7422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23079 Tabak Ln",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346395230",
            "country_code": "US",
            "telephone_number": "813-803-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SQ2 MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "QILIN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "813-374-8981"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SQ2 Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.

Verify at the official NPI Registry.