NPIMap

Organization Active NPI

Florida Medical Clinic LLC

  • Clinic/Center
  • Zephyrhills, FL
National Provider Identifier
1821055690
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

38135 Market Square
Zephyrhills, FL 33542

Mailing address

38135 Market Square
Zephyrhills, FL 33542
Phone (813) 780-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000962 FL Part B Supplier - Clinic/Group Practice 9931003068 Receives reassigned benefits from 533 practitioners

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Locations

2020 Town Center Blvd
Ste B
Brandon, FL 33511
Phone (813) 315-1500

2100 Via Bella Blvd
#204
Land O Lakes, FL 34639
Phone (813) 751-3636

12500 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 968-1727

13602 N 46th St
Tampa, FL 33613
Phone (813) 284-2255

14014 N 46th St
Ste C
Tampa, FL 33613
Phone (813) 284-2229

14547 Bruce B Downs Blvd
Ste A
Tampa, FL 33613
Phone (813) 280-7100

16646 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 908-5253

17401 Commerce Park Blvd
Ste 104
Tampa, FL 33647
Phone (813) 751-0777

3820 Northdale Blvd
Ste 200
Tampa, FL 33624
Phone (813) 712-5702

27401 Cashford Cir
Wesley Chapel, FL 33544
Phone (813) 994-3389

27634 Cashford Cir
Wesley Chapel, FL 33544
Phone (813) 907-9992

36819 Eiland Blvd
Zephyrhills, FL 33542
Phone (813) 780-8774

38117 Market Square Dr
Zephyrhills, FL 33542
Phone (813) 779-7437

6830 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-3118

Practitioners & affiliated clinicians

Practitioners 558

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.

View all 558

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • 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.