Individual provider Active NPI

Raphael Garcia, APRN

  • Adult Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1548078140
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11034734 Issued in FL
Practice address
2333 W Hillsborough Ave Ste 100
Tampa, FL 33603-1059
Phone
(813) 872-4492
NPI assigned
Dec 28, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11034734 FL
Adult Health Nurse Practitioner 363LA2200X APRN11034734 FL Primary

Addresses

Primary practice location

2333 W Hillsborough Ave Ste 100
Tampa, FL 33603-1059

Mailing address

4338 Swift Cir
Valrico, FL 33596-7247
Phone (727) 741-3599

Other practice location 1

403 S Kings Ave Ste 201
Brandon, FL 33511-5962
Phone (813) 872-4492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304002064 FL Practitioner - Nurse Practitioner 0446771620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Pain Relief Center IncGroup PAC ID 6002715158, 33 clinicians

Practice addresses (Care Compare)

2333 W Hillsborough Ave
Suite 100
Tampa, FL 33603-1059
Phone (813) 872-4492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11034734FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Pain Relief Center, Inc. CurrentSince Feb 24, 2025 Accepting new patients

Locations

403 S Kings Ave
Ste 201
Brandon, FL 33511
Phone (813) 872-4992

325 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 585-0263

2333 W Hillsborough Ave
Ste 100
Tampa, FL 33603

Interoperability endpoints

  • Direct secure messaging: raphael.garcia.p2@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1548078140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 SWIFT CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967247",
            "telephone_number": "727-741-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W HILLSBOROUGH AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031059",
            "telephone_number": "813-872-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 S Kings Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115962",
            "country_code": "US",
            "telephone_number": "813-872-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "RAPHAEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-28",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11034734",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11034734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.