Active NPI
Pinellas Community Care Diagnostic Center
- Internal Medicine Physician
- Largo, FL
National Provider Identifier
1831068253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PINELLAS COMMUNITY CARE DIAGNOSTIC CENTER
- Practice address
- 1301 2ND Ave SW
Largo, FL 33770-3120 - Phone
- (903) 851-5322
- NPI assigned
- Nov 3, 2025
- Organization subpart
- Yes
- Parent organization
- PROFESSIONAL HEALTH CARE OF PINELLAS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Mohl
- Title
- Credentialing Support
- Phone
- (616) 490-9299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1301 2ND Ave SW
Largo, FL 33770-3120
Mailing address
1301 2ND Ave SW
Largo, FL 33770-3120
National Provider Directory
National Provider Directory- Part of
- Professional Health Care of Pinellas Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1831068253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120",
"telephone_number": "903-851-5322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINELLAS COMMUNITY CARE DIAGNOSTIC CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROFESSIONAL HEALTH CARE OF PINELLAS LLC",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "MOHL",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "CREDENTIALING SUPPORT",
"authorized_official_telephone_number": "616-490-9299"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.