Vantage Clinical Trials, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VANTAGE CLINICAL TRIALS, LLC

Practice address

4730 N Habana Ave Ste 300
Tampa, FL 33614-7148

Phone

(727) 510-9773

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Carlos A Bussey

Title

Owner

Phone

(727) 510-9773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1902612823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 87TH TER N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022148",
            "telephone_number": "727-510-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147148",
            "telephone_number": "727-510-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE CLINICAL TRIALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "BUSSEY",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-510-9773"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Adam Vanover, PTA
• Allen Pryor Vanoverbeke II, D.M.D.
• Gregory S Vanpelt
• Michelle Marie Vanskoy, CNM
• Vantage Clinical Trials, Inc.
• Vantage Home Care LLC
• Vantage Point
• Vantage Point Counseling & Wellness
• Jordyn Vanvakas
• Jon Marinus Vanvliet, RRT

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.