Custom Care Medical Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CUSTOM CARE MEDICAL CENTER LLC

Practice address

1931 W Martin Luther King Jr Blvd
Ste E
Tampa, FL 33607

Phone

(813) 515-6676

Fax

(813) 515-6685

NPI assigned

Mar 24, 2025

Organization subpart

No

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

Authorized official

Name

Douglas Burks, MD

Title

Owner

Phone

(813) 515-6676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1487455341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 W MARTIN LUTHER KING JR BLVD",
            "address_2": "STE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-515-6676",
            "fax_number": "813-515-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 W MARTIN LUTHER KING JR BLVD",
            "address_2": "STE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-515-6676",
            "fax_number": "813-515-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-515-6676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Curtiss, PH.D.
• Leta K Curtiss, RRT/CPFT
• Brenda Curtwright, SLP
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• Ashley Jennifer Custodio, APRN
• Michael Anthony Cusumano, O.D.
• Atira Cutler, B.S
• Jasmine Cutler, PHARMD
• Scott G. Cutler, M.D.
• Norele Jean Cutrera, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.