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MEDICAL HEALTH GROUP, PLLC
NPI 1306646906
General Practice in Brandon, FL

Active since March 14, 2025CLIA 10D2325467 · Waiver
1383 PROVIDENCE RD, BRANDON, FL 33511(813) 413-6100 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Health Group, Pllc NPPES

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

MEDICAL HEALTH GROUP, PLLC (NPI 1306646906) is a healthcare organization registered as a general practice in Brandon, Florida and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Luis Bauza-cruz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306646906
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICAL HEALTH GROUP, PLLC
Location Address1383 PROVIDENCE RDBrandon, FL 33511-4885
Mailing Address1383 Providence RdBrandon, FL 33511-4885 · (813) 413-6100
Phone(813) 413-6100
Organization SubpartNo
Authorized OfficialLuis Bauza-cruzOffice Manager · (813) 413-6100
Enumeration DateMarch 14, 2025
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1306646906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
1383 PROVIDENCE RD, Brandon, FL 33511
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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

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 10D2325467

Medical Health Group PLLC · Brandon, FL
Active · expires Jun 12, 2027
CLIA Number10D2325467
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorMalieri Colon-Rivera
Laboratory Phone(813) 413-6100
Laboratory LocationMedical Health Group PLLC1383 Providence Road, 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 3

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

MARION EVELYN SUCKFUELL MD
Pediatrics (Adolescent Medicine)
1383 PROVIDENCE RD
BRANDON, FL 33511
Hillsborough County (813) 681-5714
MRS. ROSE MARIE HOLODNIAK PA
Physician Assistant (Medical)
1383 PROVIDENCE RD
BRANDON, FL 33511
Hillsborough County (813) 681-5714
PELAEZ AND MONTANE PA
Pediatrics
1383 PROVIDENCE RD, SUITE 102
BRANDON, FL 33511
Hillsborough County (813) 681-5714

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 Medical Health Group, PLLC's NPI number?

The NPI number for Medical Health Group, PLLC is 1306646906. It was assigned to this organization in the NPPES registry on March 14, 2025.

Where is Medical Health Group, PLLC located?

Medical Health Group, PLLC is located at 1383 Providence Rd, Brandon, FL 33511. The listed phone number is (813) 413-6100.

What is Medical Health Group, PLLC's specialty?

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

Does Medical Health Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2325467) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Health Group, PLLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.