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KETAMINE SOLUTIONS OF TAMPA
NPI 1265195812
Clinic/Center - Multi-Specialty in Tampa, FL

Active since October 20, 2021
3450 E FLETCHER AVE STE 300, TAMPA, FL 33613(813) 632-3223(813) 632-3224 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2021, Oct 20, 2021 (2 updates tracked since 2021).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Multi-Specialty

About KETAMINE SOLUTIONS OF TAMPA

This page provides the complete NPI Profile along with additional information for Ketamine Solutions Of Tampa, a provider established in Tampa, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1265195812 assigned on October 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Ketamine Solutions Of Tampa. The authorized official of this NPI record is Clint Fletcher Crna (Owner)

NPI
1265195812 Verify this NPI
Provider Legal Name
KETAMINE123LLC
Other Organization Name
KETAMINE SOLUTIONS OF TAMPA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3450 E FLETCHER AVE STE 300 TAMPA, FL 33613
Location Phone
(813) 632-3223
Location Fax
(813) 632-3224
Mailing Address
3450 E FLETCHER AVE STE 300 TAMPA, FL 33613
Mailing Phone
(813) 632-3223
Mailing Fax
(813) 632-3224
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2021
Last Update Date
11-10-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLINT FLETCHER CRNA

Authorized Official Title
OWNER
Authorized Official Phone
(615) 300-3096

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Frequently Asked Questions

What is KETAMINE123LLC's NPI number?

The NPI number assigned to this healthcare provider is 1265195812, enumerated as an "organization" on October 20, 2021.

Where is the provider located?

The provider is located at 3450 E FLETCHER AVE STE 300 TAMPA, FL 33613 and the phone number is (813) 632-3223.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.