Universal Family Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UNIVERSAL FAMILY CLINIC LLC

Practice address

5352 N Habana Ave Ste D
Tampa, FL 33614-6838

Phone

(813) 999-1103

Fax

(813) 999-1373

NPI assigned

Jun 13, 2024

Last updated

Jan 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Orismelcy De Los Reyes Pupo, APRNNPI 1659965820

Title

Aprn

Phone

(813) 999-1103

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Orismelcy De Los Reyes Pupo

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1659965820
  Medicare reassignment Care Compare group NPD Authorized official
• Aniuska Rodriguez Tudela, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1568129930
  Medicare reassignment Care Compare group NPD
• Jesse Cassidy Suarez, MD

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1740637768
  Medicare reassignment NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1720821135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 N HABANA AVE STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146838",
            "telephone_number": "813-999-1103",
            "fax_number": "813-999-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 N HABANA AVE STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146838",
            "telephone_number": "813-999-1103",
            "fax_number": "813-999-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "DE LOS REYES PUPO",
        "authorized_official_first_name": "ORISMELCY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "813-999-1103",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Universal Rehab, Inc
• Universal Spine & Joint Specialists, LLC (universal spine and joint specialists)
• Universal Transportation Management Inc (Utm Inc)
• University Community Hospital, Inc (AdventHealth Tampa)

• 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 Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.