Access Medical Group of Tampa III, LLC.
Organization Active NPI Family Medicine Physician · Auburndale, FL
NPI 1831609684 · NPPES record last updated May 1, 2024
Key facts
- NPI
- 1831609684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ACCESS MEDICAL GROUP OF TAMPA III, LLC.
- Practice address
- 394 Havendale Blvd
Auburndale, FL 33823-4527 - Phone
- (863) 327-0131
- Fax
- (863) 777-2307
- NPI assigned
- Oct 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Rayny Ramirez
- Title
- President
- Phone
- (786) 322-7333
Practitioners 2
-
Michael Anthony Sama, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2174777 | Access Medical Group of Tampa III Inc | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
Locations
394 Havendale Blvd
Auburndale, FL 33823
Phone (863) 327-0131
Interoperability endpoints
- cmgauburndale.adultpeds@cmg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
394 Havendale Blvd
Auburndale, FL 33823-4527
Mailing address
6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104441500 | Medicaid | FL |
Other names
- Community Medical Group
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmgauburndale.adultpeds@cmg.eclinicaldirectplus.com | Health Information Exchange (HIE) |
Other providers in Auburndale, FL
- 2 Caring Hands LLC.
- Achi Pharm, Inc
- Henry Acosta
- Toni Adams-Pecoraro
- Kazeem Aderoju
- Agape Counseling Services, Inc
All providers in Auburndale, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.