Florida Medical Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FLORIDA MEDICAL CLINIC LLC

Practice address

38135 Market Square
Zephyrhills, FL 33542

Phone

(813) 780-8440

Fax

(813) 788-4411

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Joe I Delatorre

Title

Ceo

Phone

(813) 780-8440

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Florida Medical Clinic LLC

  • Rehabilitation Clinic/Center
  • Zephyrhills, FL
  • NPI 1710053368

  9931003068

  Same PAC ID
• Florida Medical Clinic, LLC

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1568425809

  9931003068

  Same PAC ID

Locations

Practitioners 559

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mazen A Abboud, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dade City, FL
  • NPI 1669417143
  Medicare reassignment NPD
• Natalie Abell, PA

  • Family Medicine Physician
  • Trinity, FL
  • NPI 1598239782
  Medicare reassignment NPD
• Olufunke O. Abiose, M.D.

  • Obstetrics & Gynecology Physician
  • Lutz, FL
  • NPI 1538360680
  Medicare reassignment NPD
• Mariam Enid Abreu Ruiz, M.D.

  • Hospitalist Physician
  • Zephyrhills, FL
  • NPI 1740472695
  Medicare reassignment NPD
• Harry William Acevedo-Negron, M.D.

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1194113712

  General Practice

  Medicare reassignment NPD
• Camelia A Acevedo, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1366083107
  Medicare reassignment NPD
• Kalli A Ackerman, APRN

  • Nurse Practitioner
  • Yulee, FL
  • NPI 1336717081
  Medicare reassignment NPD
• Anamaria C Acosta, PA-C

  • Medical Physician Assistant
  • Tampa, FL
  • NPI 1851003669
  Medicare reassignment NPD
• Alexis Prickett Adams

  • Physician Assistant
  • Brandon, FL
  • NPI 1114493889
  Medicare reassignment NPD
• Dawn Addison, ARNP-C

  • Adult Health Nurse Practitioner
  • Valrico, FL
  • NPI 1558743583
  Medicare reassignment NPD
• Akosua Agyemang, ARNP

  • Family Nurse Practitioner
  • Zephyrhills, FL
  • NPI 1487010146
  Medicare reassignment NPD
• Sameer Waqar Ahmed, MD

  • Interventional Cardiology Physician
  • Land O Lakes, FL
  • NPI 1962766758
  Medicare reassignment NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1821055690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33542",
            "telephone_number": "813-780-1255",
            "fax_number": "813-780-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33542",
            "telephone_number": "813-780-8440",
            "fax_number": "813-788-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "DELATORRE",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-780-8440"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372900100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Hospital Zephyrhills Inc
• Florida Hospital Zephyrhills Inc
• Florida Hospital Zephyrhills Inc
• Florida Medical Clinic LLC
• Florida Medical Clinic LLC
• Florida Medical Clinic LLC Pharmacy
• Florida Medical Clinic, LLC
• Florida Medical Clinic, LLC
• Florida Medical Clinic, LLC
• Florida Medical Clinic, LLC

• Clinic/Center in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.