Nativity Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NATIVITY MEDICAL CENTER

Practice address

2931 State Road 60 E
Valrico, FL 33594-3416

Phone

(813) 689-0904

Fax

(813) 689-7549

NPI assigned

Nov 23, 2006

Last updated

Aug 22, 2020By 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

Celsa Castro

Title

Administrator

Phone

(813) 689-0904

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Alfonso Frederick Melean, M.D.

  • General Practice Physician
  • Tampa, FL
  • NPI 1790821445
  NPD (past)

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891860771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 STATE ROAD 60 E",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943416",
            "telephone_number": "813-689-0904",
            "fax_number": "813-689-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 STATE ROAD 60 E",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943416",
            "telephone_number": "813-689-0904",
            "fax_number": "813-689-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CELSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-689-0904"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600474",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Musculoskeletal Institute Chartered (Florida Orthopaedic Institute)
• Mary Beth Myers, PHARMD
• Nathaniel K Myers, DPT
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Nationwide Vision Center, LLC
• Frank Damian Navarra, MPAS, PA-C
• Arveny Damaris Negron, PA
• Dominique S. Nelson, MA, CCC-SLP
• New Beginnings Psych Services, Inc.
• New Horizons Psych Services,LLC

• Family Medicine Physician in Valrico, FL
• Providers in Valrico, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.