FLORIDA MEDICAL CLINIC, LLC (NPI# 1154610616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154610616 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL CLINIC, LLC |
| Other Organization Name | ORTHO TAMPA |
| Practice Address |
14547 Bruce B Downs Blvd Suite C Tampa FL 33613-2709 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8139790440 |
| Practice Fax Number | 8136327861 |
| Mailing Telephone | 8137801255 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2020-03-19 |
| Authorized Official Name | JOE DELATORRE (CEO) |
| Authorized Official Telephone | 8137808440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Ortho Tampa | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609165166 | Florida Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 38107 Market Sq, Zephyrhills, FL 33542-7505 | 2011-04-05 |
| 1003036237 | Florida Medical Clinic, LLC | Pathology | 17401 Commerce Park Blvd Ste 108, Tampa, FL 33647-3507 | 2007-04-30 |
| 1568425809 | Florida Medical Clinic, LLC | Clinical Medical Laboratory | 17401 Commerce Park Blvd Ste 107, Tampa, FL 33647-3507 | 2006-04-08 |
| 1912484452 | Florida Medical Clinic, LLC | Clinic/Center | 2100 Via Bella Blvd Ste 204, Land O Lakes, FL 34639-5429 | 2018-07-27 |
| 1831641802 | Florida Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 2352 Bruce B Downs Blvd, 102, Wesley Chapel, FL 33544-9203 | 2016-10-26 |
| 1033596465 | Florida Medical Clinic, LLC | Clinic/Center | 38107 Market Sq, Zephyrhills, FL 33542-7505 | 2015-05-06 |
| 1740667187 | Florida Medical Clinic, LLC | Clinic/Center | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2015-05-06 |
| 1356728505 | Florida Medical Clinic, LLC | Clinic/Center | 2700 Healing Way, Suite 100, Wesley Chapel, FL 33543-5453 | 2015-04-27 |
| 1316324577 | Florida Medical Clinic, LLC | Clinic/Center | 12500 N Dale Mabry Hwy, Suite B, Tampa, FL 33618-2809 | 2015-04-27 |
| 1386038248 | Florida Medical Clinic, LLC | Family Medicine | 13311 N 56th St, Tampa, FL 33617-1161 | 2015-03-27 |
| Street Address |
14547 BRUCE B DOWNS BLVD SUITE C |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156591 | Wendy Ann Whitford | Nurse Anesthetist, Certified Registered | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2005-10-04 |
| 1972020527 | Boris Borissov | Nurse Practitioner | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2017-08-24 |
| 1740667187 | Florida Medical Clinic, LLC | Clinic/Center | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2015-05-06 |
| 1902295009 | North Pinellas Anesthesia Asscoiates Pa | Anesthesiology | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2015-01-13 |
| 1639575079 | Brittany Loringer | Physician Assistant | 14547 Bruce B Downs Blvd, Ste. C, Tampa, FL 33613-2709 | 2014-11-12 |
| 1861732182 | Sherdene Barrett | Nurse Practitioner | 14547 Bruce B Downs Blvd, Ste D, Tampa, FL 33613-2709 | 2013-02-22 |
| 1548518780 | Christopher R Smith | Physician Assistant | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2012-08-20 |
| 1720385438 | Kimberly Myers Cudzil | Nurse Practitioner | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2011-02-15 |
| 1659535789 | Josh Gilliam | Physician Assistant | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2008-07-17 |
| 1497939367 | Sorina Marie Davis | Nurse Anesthetist, Certified Registered | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1013482546 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy Ste C, Tampa, FL 33634-7515 | 2018-10-11 |
| 1700383312 | Gomez Orthotic Systems LLC | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy, Tampa, FL 33634-7515 | 2018-04-10 |
| 1043767510 | Its Jazzy Salo | Prosthetic/Orthotic Supplier | 3010 N 22nd St, Tampa, FL 33605-1914 | 2016-09-01 |
| 1013462316 | Danori Inc. | Prosthetic/Orthotic Supplier | 1425 W Busch Blvd, Tampa, FL 33612-7601 | 2016-08-17 |
| 1396135315 | Express Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3603 W Flora St, Tampa, FL 33614-4025 | 2015-01-28 |
| 1922429588 | Amy Holm | Prosthetic/Orthotic Supplier | 812 W Mlk Blvd #100, Tampa, FL 33603-3338 | 2013-12-30 |
| 1033462171 | About You | Prosthetic/Orthotic Supplier | 3401 Henderson Blvd, Suite A, Tampa, FL 33609-3989 | 2012-10-25 |
| 1376858688 | American Ortho Tech Laboratories, Inc. | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy Ste 100, Tampa, FL 33634-7515 | 2010-08-11 |
| 1740302645 | Italy Shoe Lab, Inc | Prosthetic/Orthotic Supplier | 9639 Palm River Rd, Tampa, FL 33619-4433 | 2007-04-04 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.