Principal Medical Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRINCIPAL MEDICAL CENTER

Practice address

4123 N Armenia Ave
Tampa, FL 33607-6433

Phone

(813) 374-7474

Fax

(813) 374-7451

NPI assigned

Feb 9, 2023

Last updated

Feb 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lucismey Perera Alonso

Title

Owner

Phone

(813) 760-9531

Specialties & licenses 1

Addresses

Other names 1

• Principal Medical Center Former legal business name

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1427755503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076433",
            "telephone_number": "813-374-7474",
            "fax_number": "813-374-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076433",
            "telephone_number": "813-374-7474",
            "fax_number": "813-374-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "PERERA ALONSO",
        "authorized_official_first_name": "LUCISMEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-760-9531"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Principal Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nayat Mercedes Prince Candelario
• Sydnee Prince Simpson, PA-C
• Alison Rosetta Prince, CRNA
• Matthew Prince, PT
• Ysanda Melinda Prince
• Principle Care Center Inc
• Principle Healthcare Group, LLC.
• Principle Medical Products, Inc
• Lacey Amanda Prine
• Demarcus Pringle

• Physical Therapy Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.