Organization Active NPI

Mdside PLLC

Doing business as MDside

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1619889292
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MDSIDE PLLC
Doing business as
MDside
Practice address
4907 N Florida Ave Ste D
Tampa, FL 33603-2119
Phone
(813) 285-5919
Fax
(813) 591-4522
NPI assigned
Sep 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

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

Authorized official

Name
Victor D Cruz, MD
Title
Managing Member
Phone
(813) 285-5919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4907 N Florida Ave Ste D
Tampa, FL 33603-2119

Mailing address

401 E Jackson St Ste 2340
Tampa, FL 33602-5226
Phone (813) 285-5919

Other names 1

  • MDside Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1789776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1619889292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E JACKSON ST STE 2340",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025226",
            "telephone_number": "813-285-5919",
            "fax_number": "813-336-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 N FLORIDA AVE STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032119",
            "telephone_number": "813-285-5919",
            "fax_number": "813-591-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDSIDE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-19",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-285-5919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDside",
            "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 Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.