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CORNERSTONE MEDICAL CARE OF BRANDON LLC
NPI 1124038989
Clinic/Center - Primary Care in Brandon, FL

Active since August 08, 2006CLIA Certified · 2 labs
500 VONDERBURG DR, E TOWER STE 102, BRANDON, FL 33511(813) 681-5658(813) 681-5250 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cornerstone Medical Care Of Brandon Llc NPPES

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

CORNERSTONE MEDICAL CARE OF BRANDON LLC (NPI 1124038989) is a healthcare organization registered as a primary care in Brandon, Florida and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Sun City Center, and lists Julio A Enriquez, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1124038989
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCORNERSTONE MEDICAL CARE OF BRANDON LLC
Location Address500 VONDERBURG DR, E TOWER STE 102Brandon, FL 33511-5964
Mailing Address500 Vonderburg Dr Ste 102Brandon, FL 33511-5968 · (813) 681-5658 · Fax (813) 681-5250
Phone(813) 681-5658
Fax(813) 681-5250
Organization SubpartNo
Authorized OfficialJulio A EnriquezManaging Member · (813) 681-5658
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1124038989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
500 VONDERBURG DR, Brandon, FL 33511
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Secondary Practice Location 1

Location 14051 Upper Creek Dr Ste 112Sun City Center, FL 33573-6825 · Phone (813) 681-5658 · Fax (813) 681-5250

Other Identifiers 1

Medicaid267292800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D1063549

Cornerstone Medical Care Of Brandon, LLC · Sun City Center, FL
Active · expires Jan 16, 2027
CLIA Number10D1063549
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorPedro M. Enriquez
Laboratory Phone(813) 681-5658
Laboratory LocationCornerstone Medical Care Of Brandon, LLC4051 Upper Creek Drive Ste 112, Sun City Center, FL 33573
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 10D1004978

Cornerstone Medical Care Of Brandon, LLC · Brandon, FL
Active · expires Oct 9, 2026
CLIA Number10D1004978
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorPedro M. Enriquez
Laboratory Phone(813) 681-5658
Laboratory LocationCornerstone Medical Care Of Brandon, LLC500 Vondererg Dr #101-102e, Brandon, FL 33511
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 20

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

MR. SCOTT CAMERON MCLAURIN PA-C
Physician Assistant (Medical)
500 VONDERBURG DR, SUITE 311 WEST
BRANDON, FL 33511
Hillsborough County (813) 654-2445
PAUL L JONES MD PA
Otolaryngology
500 VONDERBURG DR, SUITE 305 EAST
BRANDON, FL 33511
Hillsborough County (813) 685-5631
HUSAIN F NAGAMIA MD PA
Specialist
500 VONDERBURG DR, SUITE 203 EAST TOWER
BRANDON, FL 33511
Hillsborough County (813) 654-4466
HENRY HOLDINGS LLC
Chiropractor (Rehabilitation)
500 VONDERBURG DR, SUITE 306 EAST TOWER
BRANDON, FL 33511
Hillsborough County (813) 425-5447
MRS. DEBORAH B. CONDOSTA ARNP-C
Nurse Practitioner (Adult Health)
500 VONDERBURG DR, SUITE 101
BRANDON, FL 33511
Hillsborough County (813) 681-5658
SALLY JO ROBELLI ARNP
Nurse Practitioner (Family)
500 VONDERBURG DR, SUITE 311 WEST TOWER
BRANDON, FL 33511
Hillsborough County (813) 654-2445
DIVYANG SORATHIA M.D.
Internal Medicine (Pulmonary Disease)
500 VONDERBURG DR, EAST TOWER, SUITE 201E
BRANDON, FL 33511
Hillsborough County (813) 655-1100
HUGO PESTANA
Nurse Practitioner (Family)
500 VONDERBURG DR, SUITE 303 E
BRANDON, FL 33511
Hillsborough County (813) 681-5702

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 Cornerstone Medical Care Of Brandon LLC's NPI number?

The NPI number for Cornerstone Medical Care Of Brandon LLC is 1124038989. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Cornerstone Medical Care Of Brandon LLC located?

Cornerstone Medical Care Of Brandon LLC is located at 500 Vonderburg Dr E Tower Ste 102, Brandon, FL 33511. The listed phone number is (813) 681-5658.

What is Cornerstone Medical Care Of Brandon LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cornerstone Medical Care Of Brandon 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 Cornerstone Medical Care Of Brandon LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Cornerstone Medical Care Of Brandon 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 Cornerstone Medical Care Of Brandon LLC was last updated on June 17, 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.