Access Medical Group of Tampa III, LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ACCESS MEDICAL GROUP OF TAMPA III, LLC.

Doing business as

Community Medical Group

Practice address

394 Havendale Blvd
Auburndale, FL 33823-4527

Phone

(863) 327-0131

Fax

(863) 777-2307

NPI assigned

Oct 6, 2017

Last updated

May 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rayny Ramirez

Title

President

Phone

(786) 322-7333

Specialties & licenses 1

Addresses

Other names 1

• Community Medical Group Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: cmgauburndale.adultpeds@cmg.eclinicaldirectplus.com

Practitioners 2

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.

• Yamira Bordas

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Haven, FL
  • NPI 1518455633
  NPD (past)
• Michael Anthony Sama, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1164527115
  NPD (past)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1831609684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333",
            "fax_number": "786-322-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 HAVENDALE BLVD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234527",
            "telephone_number": "863-327-0131",
            "fax_number": "863-777-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS MEDICAL GROUP OF TAMPA III, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-05-01",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "RAYNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-322-7333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmgauburndale.adultpeds@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CMG",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "394 Havendale Blvd",
            "city": "Auburndale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338234527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Henry Acosta, DMD
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• Kazeem Aderoju, PHARMACIST

• Family Medicine Physician in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.