Organization Active NPI

Cano PCP, LLC

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1861381154
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CANO PCP, LLC
Practice address
4160 N Armenia Ave Ste a
Tampa, FL 33607-6453
Phone
(813) 673-8245
Fax
(813) 673-8640
NPI assigned
Jul 1, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CANO HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
John Lines
Title
Clo
Phone
(615) 866-8861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4160 N Armenia Ave Ste a
Tampa, FL 33607-6453

Mailing address

9725 NW 117TH Ave Ste 200
Medley, FL 33178-1260

National Provider Directory

National Provider Directory
Part of
Cano Health LLC

Locations

4160 N Armenia Ave
Ste A
Tampa, FL 33607
Phone (786) 534-8366

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1861381154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 NW 117TH AVE STE 200",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 N ARMENIA AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076453",
            "telephone_number": "813-673-8245",
            "fax_number": "813-673-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANO PCP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANO HEALTH, LLC",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "LINES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CLO",
        "authorized_official_telephone_number": "615-866-8861"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Jul 1, 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.

Verify at the official NPI Registry.