EMINENCE MEDICAL & CLINICAL RESEARCH INC - NPI 1336504307

Q: What is Eminence Medical & Clinical Research Inc's specialty?

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

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About Eminence Medical & Clinical Research Inc NPPES

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

EMINENCE MEDICAL & CLINICAL RESEARCH INC (NPI 1336504307) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since December 2015. The organization lists Roniel Perez, Owner, as its authorized official.

NPPES Registry Identity

NPI1336504307

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameEMINENCE MEDICAL & CLINICAL RESEARCH INC

Location Address1419 W WATERS AVE, SUITE 115Tampa, FL 33604-2895

Mailing Address1419 W Waters Ave, Suite 115Tampa, FL 33604-2895 · (813) 810-2119

Phone(813) 810-2119

Organization SubpartNo

Authorized OfficialRoniel PerezOwner · (813) 810-2119

Enumeration DateDecember 17, 2015

✔ NPI 1336504307 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

1419 W WATERS AVE, Tampa, FL 33604

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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 10D2112754

Eminence Medical And Clinical Research · Tampa, FL

Expired · May 8, 2026

CLIA Number10D2112754

Laboratory TypePhysician Office

Certificate Effective DateMay 9, 2024

Certificate Expiration DateMay 8, 2026

Laboratory DirectorRoniel Perez

Laboratory Phone(813) 810-2119

Laboratory LocationEminence Medical And Clinical Research1419 W Waters Ave Ste 115, Tampa, FL 33604

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

PULMONICS INC

Durable Medical Equipment & Medical Supplies

1419 W WATERS AVE, STE 120
TAMPA, FL 33604

Hillsborough County (813) 931-8218

BRITT'S CHIROPRACTIC AND WELLNESS CENTER, INC

Health Maintenance Organization

1419 W WATERS AVE, STE 114
TAMPA, FL 33604

Hillsborough County (813) 549-0339

BRITT'S CHIROPRACTIC AND WELLNESS CENTER, INC

Health Maintenance Organization

1419 W WATERS AVE, STE 114
TAMPA, FL 33604

Hillsborough County (813) 549-0339

JOSEPH GAINEY

Physical Therapy Assistant

1419 W WATERS AVE
TAMPA, FL 33604

Hillsborough County (813) 443-8823

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 Eminence Medical & Clinical Research Inc's NPI number?

The NPI number for Eminence Medical & Clinical Research Inc is 1336504307. It was assigned to this organization in the NPPES registry on December 17, 2015.

Where is Eminence Medical & Clinical Research Inc located?

Eminence Medical & Clinical Research Inc is located at 1419 W Waters Ave Suite 115, Tampa, FL 33604. The listed phone number is (813) 810-2119.

What is Eminence Medical & Clinical Research Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Eminence Medical & Clinical Research Inc was last updated on December 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.