PROMEDTC LLC NPI 1104441617

NPI Information

  • NPI: 1104441617
  • Provider Name: PROMEDTC, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 3109 LITHIA PINECREST RD
    VALRICO, FL
    ZIP 33596
  • Phone: (718) 666-8759

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NPI Details

PROMEDTC, LLC is a primary care clinic center in Valrico, FL. PROMEDTC, LLC NPI is 1104441617. The provider is registered as an organization entity type.

The provider's business location address is:

3109 LITHIA PINECREST RD
VALRICO, FL
ZIP 33596-632
Phone: (718) 666-8759

The provider's authorized official is Tymur Chepi-ipa .
The authorized official title is Medical Director and has the following contact phone number (718) 666-8759.

The enumeration date for this NPI number is 6/10/2020 and was last updated on 6/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11548623432OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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