Organization Active NPI

Elidan Art LLC

  • Art Therapist
  • Tampa, FL
National Provider Identifier
1992670681
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Legal business name
ELIDAN ART LLC
Practice address
8888 Cypress Manor Dr
Tampa, FL 33647-3767
Phone
(813) 405-5107
Fax
(813) 405-5107
NPI assigned
Oct 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Dr. Luis Cruz Rodriguez Sr.
Title
Ceo/President
Phone
(813) 405-5107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X Primary

Addresses

Primary practice location

8888 Cypress Manor Dr
Tampa, FL 33647-3767

Mailing address

8888 Cypress Manor Dr
Tampa, FL 33647-3767
Phone (813) 405-5107

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1992670681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 CYPRESS MANOR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473767",
            "telephone_number": "813-405-5107",
            "fax_number": "813-405-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 CYPRESS MANOR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473767",
            "telephone_number": "813-405-5107",
            "fax_number": "813-405-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIDAN ART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "CRUZ RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "813-405-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "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 Oct 10, 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.