M & M MEDICAL CLINIC, LLC (NPI# 1588992713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588992713 |
| Entity Type | Organization |
| Organization Name | M & M MEDICAL CLINIC, LLC |
| Other Organization Name | FIRST CARE WALK-IN CLINIC |
| Practice Address |
2802 W Waters Ave Tampa FL 33614-1853 |
| Practice Telephone | 8134434611 |
| Practice Fax Number | 8134434754 |
| Mailing Telephone | 8134434611 |
| Mailing Fax Number | 8134434754 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | MULUKEN D FREW (OWNER) |
| Authorized Official Telephone | 8134434611 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 272141400 | 05 |
| Other Name | Type Code |
|---|---|
| First Care Walk-In Clinic | Doing Business As Name - Organization |
| Street Address |
2802 W WATERS AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700834033 | Medical Evaluation Centers, Inc. | Specialist | 2802 W Waters Ave, Tampa, FL 33614-1853 | 2006-05-05 |
| 1952558520 | Preferred Physicians Group | Family Medicine | 2802 W Waters Ave, Tampa, FL 33614-1853 | 2008-08-26 |
| 1023199494 | Albert Elsworth Ford I | Emergency Medicine | 2802 W Waters Ave, Tampa, FL 33614-1853 | 2006-10-18 |
| 1063428720 | All for Health Clinic Inc | Chiropractor | 2802 W Waters Ave, Tampa, FL 33614-1853 | 2006-08-01 |
| 1366459638 | Ricardo Ramos | Chiropractor | 2802 W Waters Ave, Tampa, FL 33614-1853 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594215 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 4744 N Dale Mabry Hwy, Tampa, FL 33614-6509 | 2020-06-30 |
| 1164049763 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 16318 N Dale Mabry Hwy, Tampa, FL 33618-1341 | 2020-06-30 |
| 1972129575 | Synergic Healthcare Solutions LLC | Clinic/Center | 564 Channelside Dr, Tampa, FL 33602-5620 | 2020-06-19 |
| 1508489493 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2330 E Fletcher Ave, Tampa, FL 33612-9404 | 2020-05-26 |
| 1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
| 1083067664 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 6930 Gunn Hwy, Tampa, FL 33625 | 2016-07-19 |
| 1740668482 | Guidewell Sanitas I, LLC | Clinic/Center | 4611 W. Hillsborough Avenue, Tampa, FL 33614 | 2015-05-14 |
| 1194123349 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4001 W Linebaugh Ave, Tampa, FL 33624-5236 | 2014-12-19 |
| 1114330800 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 301 N Dale Mabry Hwy, Tampa, FL 33609 | 2014-06-10 |
| 1033247580 | Synergic Healthcare Solutions LLC | Clinic/Center | 11969 Sheldon Rd, Tampa, FL 33626-3644 | 2007-02-28 |
| 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.