FLORIDA MEDICAL CLINIC, LLC
NPI 1073283107
Clinic/Center - Multi-Specialty in Tampa, FL

Active since September 20, 2021CLIA 10D1000488 · Waiver
3665 MADACA LN, TAMPA, FL 33618(813) 860-7533 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Florida Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA MEDICAL CLINIC, LLC (NPI 1073283107) is a healthcare organization registered as a multi-specialty in Tampa, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Joe Delatorre, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073283107
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFLORIDA MEDICAL CLINIC, LLC
Location Address3665 MADACA LNTampa, FL 33618-2048
Mailing Address38135 Market SqZephyrhills, FL 33542-7505 · (352) 567-0188 · Fax (813) 355-5101
Organization SubpartYes
Authorized OfficialJoe DelatorreCeo · (813) 780-8440
Enumeration DateSeptember 20, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1073283107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3665 MADACA LN, Tampa, FL 33618

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1000488

Florida Medical Clinic LLC · Tampa, FL
Active · expires Jun 16, 2028
CLIA Number10D1000488
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorCicily E. Stanton
Laboratory Phone(813) 778-0231
Laboratory LocationFlorida Medical Clinic LLC10004 N Dale Mabry Hwy Ste 101, Tampa, FL 33618
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3665 MADACA LN
TAMPA, FL 33618
Internal Medicine (Cardiovascular Disease)
3665 MADACA LN
TAMPA, FL 33618
Internal Medicine (Cardiovascular Disease)
3665 MADACA LN
TAMPA, FL 33618
Nurse Practitioner (Gerontology)
3665 MADACA LN
TAMPA, FL 33618
Nurse Practitioner
3665 MADACA LN
TAMPA, FL 33618
Physician Assistant
3665 MADACA LN
TAMPA, FL 33618
Nurse Practitioner
3665 MADACA LN
TAMPA, FL 33618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Medical Clinic, LLC's NPI number?

The NPI number for Florida Medical Clinic, LLC is 1073283107. It was assigned to this organization in the NPPES registry on September 20, 2021.

Where is Florida Medical Clinic, LLC located?

Florida Medical Clinic, LLC is located at 3665 Madaca Ln, Tampa, FL 33618. The listed phone number is (813) 860-7533.

What is Florida Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Florida Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1000488) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Medical Clinic, LLC was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.