HOLY CROSS MEDICAL CENTER LLC NPI 1174118608

NPI Information

  • NPI: 1174118608
  • Provider Name: HOLY CROSS MEDICAL CENTER, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: DACONA MEDICAL CENTER
  • CLIA Number: 10D2236240
  • Address: 4109 N ARMENIA AVE STE A
    TAMPA, FL
    ZIP 33607
  • Phone: (813) 588-3342

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NPI Details

HOLY CROSS MEDICAL CENTER, LLC is a clinic center in Tampa, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HOLY CROSS MEDICAL CENTER, LLC NPI is 1174118608. The provider is registered as an organization entity type.
The provider Is Doing Business As Dacona Medical Center.

The provider's business location address is:

4109 N ARMENIA AVE STE A
TAMPA, FL
ZIP 33607-411
Phone: (813) 588-3342
Fax: (813) 588-3602

The provider's authorized official is Estrella Gonzalez .
The authorized official title is Ceo and has the following contact phone number (813) 588-3342.

The CLIA number assigned to this NPI record is 10D2236240 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2021 and was last updated on 12/31/2024.

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
1261Q00000XClinic/CenterYes
2261QM1300XClinic/CenterMulti-SpecialtyNo

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
1120219100MEDICAIDFLORIDA
2111242300MEDICAIDFLORIDA

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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