Organization Active NPI

Your Care Clinics LLC

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1962510552
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YOUR CARE CLINICS LLC
Practice address
10225 Ulmerton Rd Ste 9a
Largo, FL 33771
Phone
(727) 588-7600
Fax
(727) 303-3348
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Phyllis Friedrich
Title
Coo
Phone
(727) 588-7665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

10225 Ulmerton Rd Ste 9a
Largo, FL 33771

Mailing address

10225 Ulmerton Rd Ste 9a
Largo, FL 33771-3526
Phone (727) 588-7665

Other practice location 1

5800 49th St N
St Petersburg, FL 33709-2146
Phone (727) 528-8997 ext. 204

Other identifiers 1

IdentifierTypeStateIssuer
277731200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1962510552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD STE 9A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713526",
            "telephone_number": "727-588-7665",
            "fax_number": "727-230-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD STE 9A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33771",
            "telephone_number": "727-588-7600",
            "fax_number": "727-303-3348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 49th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092146",
            "country_code": "US",
            "telephone_number": "727-528-8997 x204",
            "fax_number": "727-521-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR CARE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "727-588-7665"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277731200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.