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ANGLIN MEDICAL PA
NPI 1134336209
Family Medicine - Sports Medicine in Riverview, FL

Active since May 17, 2007CLIA 10D1074285 · Waiver
13045 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578(813) 672-1385(813) 672-8904 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Anglin Medical Pa NPPES

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

ANGLIN MEDICAL PA (NPI 1134336209) is a healthcare organization registered as a sports medicine in Riverview, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 15, 2027, maintains a secondary practice location in Riverview, and lists Mickel Wray Anglin, President, as its authorized official.

NPPES Registry Identity

NPI1134336209
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameANGLIN MEDICAL PA
Location Address13045 SUMMERFIELD SQUARE DRRiverview, FL 33578-7402
Mailing Address13045 Summerfield Square DrRiverview, FL 33578-7402 · (813) 672-1385 · Fax (813) 672-8904
Phone(813) 672-1385
Fax(813) 672-8904
Organization SubpartNo
Authorized OfficialMickel Wray AnglinPresident · (813) 672-1385
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1134336209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in FL · ME91647
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
13045 SUMMERFIELD SQUARE DR, Riverview, FL 33578
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Secondary Practice Location 1

Location 113045 Summerfield Square DriveRiverview, FL 33569 · Phone (813) 672-1385 · Fax (813) 672-8904

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 AvMed.Insurance ›

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 10D1074285

Orlando Family Physicians, LLC Dba Anglin Medical · Riverview, FL
Active · expires Sep 15, 2027
CLIA Number10D1074285
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorMickel W. Anglin
Laboratory Phone(813) 672-1385
Laboratory LocationOrlando Family Physicians, LLC Dba Anglin Medical13045 Summerfield Square Dr, Riverview, FL 33578
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MICKEL WRAY ANGLIN M. D.
Family Medicine
13045 SUMMERFIELD SQUARE DR
RIVERVIEW, FL 33578
Hillsborough County (813) 672-1385
ORLANDO FAMILY PHYSICIANS, LLC
Family Medicine
13045 SUMMERFIELD SQUARE DR
RIVERVIEW, FL 33578
Hillsborough County (813) 672-1385

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 Anglin Medical PA's NPI number?

The NPI number for Anglin Medical PA is 1134336209. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Anglin Medical PA located?

Anglin Medical PA is located at 13045 Summerfield Square Dr, Riverview, FL 33578. The listed phone number is (813) 672-1385.

What is Anglin Medical PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Anglin Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1074285) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anglin Medical PA accept?

Health plans from AvMed list Anglin Medical PA 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 Anglin Medical PA was last updated on January 23, 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.