Organization Active NPI

Harvest Medical Services

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1780572586
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HARVEST MEDICAL SERVICES
Practice address
12807 Horseshoe Rd
Tampa, FL 33626-4407
Phone
(813) 810-8650
NPI assigned
Jun 27, 2025
Last updated
Jun 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Gelys Gongora, APRNNPI 1912674805
Title
Owner
Phone
(813) 810-8650

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

12807 Horseshoe Rd
Tampa, FL 33626-4407

Mailing address

12807 Horseshoe Rd
Tampa, FL 33626-4407
Phone (813) 810-8650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1780572586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12807 HORSESHOE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264407",
            "telephone_number": "813-810-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12807 HORSESHOE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264407",
            "telephone_number": "813-810-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "GONGORA",
        "authorized_official_first_name": "GELYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-810-8650",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "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 Jun 27, 2025; 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.