Ohi West Medical Group II LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OHI WEST MEDICAL GROUP II LLC

Doing business as

Florida Medical Clinic Orlando Health

Practice address

13417 US Highway 301 Ste B
Dade City, FL 33525-5446

Phone

(813) 778-0440

Fax

(813) 355-5019

NPI assigned

Feb 23, 2024

Last updated

Apr 26, 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

Joe Delatorre

Title

Ceo

Phone

(813) 780-8440

Specialties & licenses 2

Addresses

Other names 1

• Florida Medical Clinic Orlando Health Doing business as

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Orlando Health Network Inc

  • Surgery Physician
  • Longwood, FL
  • NPI 1942483805

  Member Of

  NPD member

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1881450203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-780-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13417 US HIGHWAY 301 STE B",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255446",
            "telephone_number": "813-778-0440",
            "fax_number": "813-355-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHI WEST MEDICAL GROUP II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "DELATORRE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-780-8440"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Medical Clinic Orlando Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michal Nizan, ARNP-C
• Tamara Norby, HHA
• North Tampa Pharmacy, Inc (Dade City Pharmacy)
• Sarah Novak
• Rajon O'Quinn, LMHC
• Nikayla Oltin
• Brook Orum, LPN
• Akintade Samuel Owoyemi Jr.
• Danielle Pacifico, RBT
• Johannis Pagan Herrera

• Durable Medical Equipment & Medical Supplies in Dade City, FL
• Providers in Dade City, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.