Organization Active NPI

P V C Medical Center, Inc.

  • Health Maintenance Organization
  • Tampa, FL
National Provider Identifier
1477835221
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
HCC 6469 Issued in FL
Legal business name
P V C MEDICAL CENTER, INC.
Practice address
5011 W Hillsborough Ave
Suite N
Tampa, FL 33634-5309
Phone
(813) 901-9369
Fax
(813) 901-9368
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Mr. Alfredo Rodriguez
Title
President/Owner
Phone
(813) 901-9369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X HCC 6469 FL Primary

Addresses

Primary practice location

5011 W Hillsborough Ave
Suite N
Tampa, FL 33634-5309

Mailing address

5011 W Hillsborough Ave
Suite N
Tampa, FL 33634-5309
Phone (813) 901-9369

National Provider Directory

National Provider Directory
Tax ID family
P V C Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5011 W Hillsborough Ave
Ste N
Tampa, FL 33634
Phone (813) 901-9369

Practitioners & affiliated clinicians

Practitioners 1

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": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1477835221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 W HILLSBOROUGH AVE",
            "address_2": "SUITE N",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345309",
            "telephone_number": "813-901-9369",
            "fax_number": "813-901-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 W HILLSBOROUGH AVE",
            "address_2": "SUITE N",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345309",
            "telephone_number": "813-901-9369",
            "fax_number": "813-901-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P V C MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "813-901-9369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "HCC 6469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 16, 2011; 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.