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: August 30, 2026.

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

About Ketamine Solutions Of Tampa NPPES

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

KETAMINE SOLUTIONS OF TAMPA (NPI 1265195812) is a healthcare organization registered as a multi-specialty in Tampa, Florida and active in the NPI registry since October 2021. The organization lists Clint Fletcher, Owner, as its authorized official.

NPPES Registry Identity

NPI1265195812
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameKETAMINE123LLC
Location Address3450 E FLETCHER AVE STE 300Tampa, FL 33613-4659
Mailing Address3450 E Fletcher Ave Ste 300Tampa, FL 33613-4659 · (813) 632-3223 · Fax (813) 632-3224
Fax(813) 632-3224
Organization SubpartNo
Authorized OfficialClint FletcherOwner · (615) 300-3096
Enumeration DateOctober 20, 2021
Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
NPI 1265195812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3450 E FLETCHER AVE STE 300, Tampa, FL 33613

Other Names 1

Doing Business AsKetamine Solutions Of Tampa

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 Ketamine123llc's NPI number?

The NPI number for Ketamine123llc is 1265195812. It was assigned to this organization in the NPPES registry on October 20, 2021. The provider is doing business as Ketamine Solutions Of Tampa.

Where is Ketamine123llc located?

Ketamine123llc is located at 3450 E Fletcher Ave Ste 300, Tampa, FL 33613. The listed phone number is (813) 632-3223.

What is Ketamine123llc'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 Ketamine123llc was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.