NPIMap

Organization Active NPI

Medi Prime Care LLC

  • Primary Care Clinic/Center
  • Clearwater, FL
National Provider Identifier
1861026833
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDI PRIME CARE LLC
Practice address
1450 Court St
Clearwater, FL 33756-6160
Phone
(727) 222-6016
Fax
(813) 774-3804
NPI assigned
Feb 27, 2020
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Dr. Francis A Caban, MDNPI 1518012582
Title
Owner
Phone
(813) 482-7540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1450 Court St
Clearwater, FL 33756-6160

Mailing address

109 Margaret St
Brandon, FL 33511-5203
Phone (813) 235-4090

Other practice location 1

108 S Pebble Beach Blvd
Sun City Center, FL 33573-5788
Phone (813) 210-9686

Other practice location 2

1001 N Macdill Ave
Tampa, FL 33607-5152
Phone (813) 879-7546

Other practice location 3

109 Margaret St
Brandon, FL 33511-5203
Phone (813) 235-4090

National Provider Directory

National Provider Directory

Locations

108 S Pebble Beach Blvd
Sun City Ctr, FL 33573
Phone (813) 235-4515

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1861026833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MARGARET ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115203",
            "telephone_number": "813-235-4090",
            "fax_number": "813-774-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 COURT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337566160",
            "telephone_number": "727-222-6016",
            "fax_number": "813-774-3804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 S Pebble Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735788",
            "country_code": "US",
            "telephone_number": "813-210-9686",
            "fax_number": "813-640-4005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 N Macdill Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336075152",
            "country_code": "US",
            "telephone_number": "813-879-7546",
            "fax_number": "813-871-6842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Margaret St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115203",
            "country_code": "US",
            "telephone_number": "813-235-4090",
            "fax_number": "813-774-3804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDI PRIME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-482-7540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.