Organization Active NPI

Saint Vil Medical Care Services LLC

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1679397749
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SAINT VIL MEDICAL CARE SERVICES LLC
Practice address
15415 N Florida Ave
Tampa, FL 33613-1243
Phone
(813) 264-5600
Fax
(813) 762-1658
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Frantz Saint-Vil, MDNPI 1588866610
Title
Owner
Phone
(305) 776-2664

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

15415 N Florida Ave
Tampa, FL 33613-1243

Mailing address

3520 Croaker Dr
Hernando Beach, FL 34607-3640
Phone (813) 264-5600

Other identifiers 1

IdentifierTypeStateIssuer
118387400MedicaidFL

Other names 1

  • F.A.S. PRIMARY CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fas Primary Care2 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.

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": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1679397749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 CROAKER DR",
            "city": "HERNANDO BEACH",
            "state": "FL",
            "postal_code": "346073640",
            "telephone_number": "813-264-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15415 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131243",
            "telephone_number": "813-264-5600",
            "fax_number": "813-762-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VIL MEDICAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "SAINT-VIL",
        "authorized_official_first_name": "FRANTZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-776-2664",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118387400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F.A.S. PRIMARY CARE",
            "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 Nov 27, 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.