NPIMap

Organization Active NPI

Ageless Vitality Center

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1649008491
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AGELESS VITALITY CENTER
Practice address
4810 W McElroy Ave Unit 6
Tampa, FL 33611-3213
Phone
(813) 955-4289
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Dr. Elaine Riefkohl Ortiz, MDNPI 1619368313
Title
Co-Owner
Phone
(813) 895-2830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4810 W McElroy Ave Unit 6
Tampa, FL 33611-3213

Mailing address

4810 W McElroy Ave Unit 6
Tampa, FL 33611-3213
Phone (813) 955-4289

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1649008491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 W MCELROY AVE UNIT 6",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113213",
            "telephone_number": "813-955-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 W MCELROY AVE UNIT 6",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113213",
            "telephone_number": "813-955-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS VITALITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "RIEFKOHL ORTIZ",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "813-895-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Jul 23, 2024; 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.