Convenient Care Medical Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CONVENIENT CARE MEDICAL CENTER INC

Practice address

507 S Macdill Ave
Tampa, FL 33609-3038

Phone

(813) 350-9398

Fax

(813) 414-9181

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ronda Lynn Willett

Title

Exec Director

Phone

(813) 957-3554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730135849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093038",
            "telephone_number": "813-350-9398",
            "fax_number": "813-414-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093038",
            "telephone_number": "813-350-9398",
            "fax_number": "813-414-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "813-957-3554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Continued Health Services, LLC
• Dayana Contreras Estevez
• Isai Contreras-Morales
• Michelle Contreras-Urena
• Kayla Marie Contreras, OTR
• Convenient Medical & Health Services Inc
• Conviva Medical Center Management LLC
• Conviva Medical Center Management LLC
• Conviva Medical Center Management LLC
• Elizabeth Conward, MSW

• 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 Aug 22, 2020; 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.