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MY DOCTOR MEDICAL GROUP CORP
NPI 1295237675
General Practice in Tampa, FL

Active since March 01, 2018CLIA Certified · 2 labs
6822 W WATERS AVE, TAMPA, FL 33634(813) 280-4909(813) 302-7143 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2019, Apr 11, 2019, Dec 17, 2018 and 3 more (6 updates tracked since 2018).

About My Doctor Medical Group Corp NPPES

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

MY DOCTOR MEDICAL GROUP CORP (NPI 1295237675) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since March 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Brandon, and lists Alejandro Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1295237675
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMY DOCTOR MEDICAL GROUP CORP
Location Address6822 W WATERS AVETampa, FL 33634-2212
Mailing Address6822 W Waters AveTampa, FL 33634-2212 · (813) 280-4909
Phone(813) 280-4909
Fax(813) 302-7143
Organization SubpartNo
Authorized OfficialAlejandro GonzalezPresident · (813) 280-4909
Enumeration DateMarch 1, 2018
Last NPPES UpdateOctober 31, 20246 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1295237675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

6822 W WATERS AVE, Tampa, FL 33634
Open in Google Maps ↗

Secondary Practice Location 1

Location 1888 S Parsons AveBrandon, FL 33511-6007 · Phone (813) 697-1888 · Fax (813) 302-7143

Other Identifiers 1

Medicaid101345800FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.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 10D2163218

My Doctor Medical Group Corp · Tampa, FL
Active · expires Mar 10, 2027
CLIA Number10D2163218
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorAlejandro Gonzalez
Laboratory Phone(813) 280-4909
Laboratory LocationMy Doctor Medical Group Corp6822 W Waters Ave, Tampa, FL 33634
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 10D2270683

My Doctor Medical Group Corp · Brandon, FL
Active · expires Oct 18, 2026
CLIA Number10D2270683
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorAlejandro Gonzalez
Laboratory Phone(813) 697-1888
Laboratory LocationMy Doctor Medical Group Corp888 S Parsons Ave, Brandon, FL 33511
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 8

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

AFFINITY WELLNESS AND AESTHETIC CENTER
Clinic/Center (Multi-Specialty)
6822 W WATERS AVE
TAMPA, FL 33634
Hillsborough County (813) 964-5901
MAYRENE ALFONSO PEREZ MD
General Practice
6822 W WATERS AVE
TAMPA, FL 33634
Hillsborough County (813) 280-4909
MARIO ANGEL CRUZ CABRERA APRN
Nurse Practitioner (Family)
6822 W WATERS AVE
TAMPA, FL 33634
Hillsborough County (813) 280-4909
MICHAEL B. AUSTIN, D.O., P.A.
General Practice
6822 W WATERS AVE
TAMPA, FL 33634
Hillsborough County (813) 230-3638
TAMMY WEDEL
Specialist/Technologist, Other (Art, Medical)
6822 W WATERS AVE
TAMPA, FL 33634
Hillsborough County (813) 505-1113
ELAINE ROUCO PEREZ
Physician Assistant
6822 W WATERS AVE
TAMPA, FL 33634
Hillsborough County (813) 280-4909
BITA ANSARI DPM
Podiatrist
6822 W WATERS AVE
TAMPA, FL 33634
Hillsborough County (813) 541-8734
SOUTH CARE MEDICAL, LLC
Exclusive Provider Organization
6822 W WATERS AVE
TAMPA, FL 33634
Hillsborough County (813) 969-1700

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 My Doctor Medical Group Corp's NPI number?

The NPI number for My Doctor Medical Group Corp is 1295237675. It was assigned to this organization in the NPPES registry on March 1, 2018.

Where is My Doctor Medical Group Corp located?

My Doctor Medical Group Corp is located at 6822 W Waters Ave, Tampa, FL 33634. The listed phone number is (813) 280-4909.

What is My Doctor Medical Group Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does My Doctor Medical Group Corp 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 My Doctor Medical Group Corp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 26 other insurers list My Doctor Medical Group Corp 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 My Doctor Medical Group Corp was last updated on October 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.