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ACCESS MEDICAL GROUP OF TAMPA II LLC. NPI 1841700697


NPI Information

NPI: 1841700697
Provider Name: ACCESS MEDICAL GROUP OF TAMPA II, LLC.

Doing Business As: COMMUNITY MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2160652

Address:
3978 W HILLSBOROUGH AVE UNIT 21B
TAMPA, FL
ZIP 33614
Phone: (813) 906-1412
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ACCESS MEDICAL GROUP OF TAMPA II, LLC. is a family medicine in Tampa, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ACCESS MEDICAL GROUP OF TAMPA II, LLC. NPI is 1841700697. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Medical Group.

The provider's business location address is:

3978 W HILLSBOROUGH AVE UNIT 21B
TAMPA, FL
ZIP 33614-628
Phone: (813) 906-1412
Fax: (813) 413-1971

The provider's authorized official is Rayny Ramirez .
The authorized official title is President and has the following contact phone number (786) 322-7333.

The CLIA number assigned to this NPI record is 10D2160652 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2017 and was last updated on 5/25/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101859300MEDICAIDFLORIDA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.