1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. General Practice
  6. NPI Profile

NODAL MEDICAL CENTER LLC
NPI 1114457272
General Practice in Tampa, FL

Active since June 12, 2017CLIA Certified · 2 labs
2123 W DR MARTIN LUTHER KING JR BLVD STE 101, TAMPA, FL 33607(813) 488-4801(813) 405-4506 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2019, Oct 24, 2018, Jun 12, 2017 (3 updates tracked since 2017).

About Nodal Medical Center Llc NPPES

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

NODAL MEDICAL CENTER LLC (NPI 1114457272) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since June 2017. The organization holds 2 active CLIA laboratory certificates and lists Osvanny Nodal, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1114457272
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNODAL MEDICAL CENTER LLC
Location Address2123 W DR MARTIN LUTHER KING JR BLVD STE 101Tampa, FL 33607-6545
Mailing Address2123 W Dr Martin Luther King Jr Blvd Ste 101Tampa, FL 33607-6545 · (813) 488-4801 · Fax (813) 405-4506
Phone(813) 488-4801
Fax(813) 405-4506
Organization SubpartNo
Authorized OfficialOsvanny NodalMedical Doctor · (813) 488-4801
Enumeration DateJune 12, 2017
Last NPPES UpdateJune 20, 20193 updates tracked since enumeration
✔ NPI 1114457272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN693
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2123 W DR MARTIN LUTHER KING JR BLVD STE 101, Tampa, FL 33607
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2132135

Nodal Medical Center, LLC · Tampa, FL
Active · expires Jun 12, 2027
CLIA Number10D2132135
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorOsvanny Nodal
Laboratory Phone(813) 488-4801
Laboratory LocationNodal Medical Center, LLC2123 W Dr Martin Luther King Jr Blvd Ste 101, Tampa, FL 33607
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2274907

Nodal Medical Center LLC · Port Richey, FL
Active · expires Jan 11, 2027
CLIA Number10D2274907
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorNodal Osvanny
Laboratory Phone(813) 488-4801
Laboratory LocationNodal Medical Center LLC11031 Us Highway19 # 102, Port Richey, FL 34668
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

CECILIA DE LA CARIDAD CRUZ ALMAGUER RN, MSN, ARNP, FNP
Nurse Practitioner
2123 W DR MARTIN LUTHER KING JR BLVD STE 101
TAMPA, FL 33607
Hillsborough County (813) 488-4801
MS. YARITZA NUNEZ MARTINEZ APRN
Nurse Practitioner (Family)
2123 W DR MARTIN LUTHER KING JR BLVD STE 101
TAMPA, FL 33607
Hillsborough County (813) 488-4801
ANILSY PANDO
Nurse Practitioner (Family)
2123 W DR MARTIN LUTHER KING JR BLVD STE 101
TAMPA, FL 33607
Hillsborough County (813) 488-4801

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 Nodal Medical Center LLC's NPI number?

The NPI number for Nodal Medical Center LLC is 1114457272. It was assigned to this organization in the NPPES registry on June 12, 2017.

Where is Nodal Medical Center LLC located?

Nodal Medical Center LLC is located at 2123 W Dr Martin Luther King Jr Blvd Ste 101, Tampa, FL 33607. The listed phone number is (813) 488-4801.

What is Nodal Medical Center LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Nodal Medical Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Nodal Medical Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Nodal Medical Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nodal Medical Center LLC was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.