Active NPI
Mdside
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1861298218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MDSIDE
- Practice address
- 109 N 12TH St Ste 1105
Tampa, FL 33602-3686 - Phone
- (813) 808-3142
- Fax
- (813) 591-4522
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victor Damaso Cruz, MD
- Title
- Managing Member
- Phone
- (813) 808-3142
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
109 N 12TH St Ste 1105
Tampa, FL 33602-3686
Mailing address
401 E Jackson St Ste 2340-K14
Tampa, FL 33602-5233
Phone (800) 579-6971
National Provider Directory
National Provider DirectoryLocations
401 E Jackson St
Ste 2340K14
Tampa, FL 33602
109 N 12th St
Ste 1105
Tampa, FL 33602
Phone (813) 808-3142
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1861622060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1861298218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E JACKSON ST STE 2340-K14",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025233",
"telephone_number": "800-579-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N 12TH ST STE 1105",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023686",
"telephone_number": "813-808-3142",
"fax_number": "813-591-4522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDSIDE",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "DAMASO",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "813-808-3142",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.