1. Home
  2. Directory
  3. Florida
  4. St Petersburg
  5. Clinic Center
  6. NPI Profile

WATERS EDGE MEDICAL CLINIC TAMPA LLC
NPI 1265054803
Clinic/Center - Multi-Specialty in St Petersburg, FL

Active since May 16, 2020
1700 66TH ST N STE 304, ST PETERSBURG, FL 33710(727) 550-0855 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2023, Apr 13, 2023, May 16, 2020 (3 updates tracked since 2020).

About Waters Edge Medical Clinic Tampa Llc NPPES

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

WATERS EDGE MEDICAL CLINIC TAMPA LLC (NPI 1265054803) is a healthcare organization registered as a multi-specialty in St Petersburg, Florida and active in the NPI registry since May 2020. The organization lists Vida Vodopalas-puodziunas, Owner, as its authorized official.

NPPES Registry Identity

NPI1265054803
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameWATERS EDGE MEDICAL CLINIC TAMPA LLC
Location Address1700 66TH ST N STE 304St Petersburg, FL 33710-5500
Mailing Address1700 66th St N Ste 304St Petersburg, FL 33710-5500 · (727) 550-0855 · Fax (727) 205-8159
Phone(727) 550-0855
Organization SubpartNo
Authorized OfficialVida Vodopalas-puodziunasOwner · (815) 603-9683
Enumeration DateMay 16, 2020
Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1265054803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1700 66TH ST N STE 304, St Petersburg, FL 33710
Open in Google Maps ↗

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.

CARGO 28 INC
Clinic/Center (Multi-Specialty)
1700 66TH ST N STE 304
ST PETERSBURG, FL 33710
Pinellas County (202) 517-3677
PACEMAKER MONITORING CENTER, INC.
Clinical Medical Laboratory
1700 66TH ST N STE 304
ST PETERSBURG, FL 33710
Pinellas County (727) 548-8200

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 Waters Edge Medical Clinic Tampa LLC's NPI number?

The NPI number for Waters Edge Medical Clinic Tampa LLC is 1265054803. It was assigned to this organization in the NPPES registry on May 16, 2020.

Where is Waters Edge Medical Clinic Tampa LLC located?

Waters Edge Medical Clinic Tampa LLC is located at 1700 66th St N Ste 304, St Petersburg, FL 33710. The listed phone number is (727) 550-0855.

What is Waters Edge Medical Clinic Tampa LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Waters Edge Medical Clinic Tampa LLC was last updated on August 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.