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SUNSTATE DOCTORS MEDICAL GROUP
NPI 1396000154
Clinic/Center - Primary Care in Wimauma, FL

Active since July 09, 2012CLIA 10D2052603 · Waiver
5113 STATE ROAD 674, STE 103, WIMAUMA, FL 33598(813) 633-2000(813) 849-9301 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2024, Jun 23, 2023 (2 updates tracked since 2023).

About Sunstate Doctors Medical Group NPPES

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

SUNSTATE DOCTORS MEDICAL GROUP (NPI 1396000154) is a healthcare organization registered as a primary care in Wimauma, Florida and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Khushi A. Dhaliwal, President, as its authorized official.

NPPES Registry Identity

NPI1396000154
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTAMPA BAY FAMILY PHYSICIANS INC
Location Address5113 STATE ROAD 674, STE 103Wimauma, FL 33598
Mailing Address5113 State Road 674, Ste 103Wimauma, FL 33598 · (813) 633-2000 · Fax (813) 849-9301
Phone(813) 633-2000
Fax(813) 849-9301
Organization SubpartNo
Authorized OfficialKhushi A. DhaliwalPresident · (813) 633-2000
Enumeration DateJuly 9, 2012
Last NPPES UpdateApril 20, 20242 updates tracked since enumeration
NPPES CertifiedApril 20, 2024
✔ NPI 1396000154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME0059912
Also ListedFamily MedicineTaxonomy 207Q00000X
5113 STATE ROAD 674, STE 103, Wimauma, FL 33598
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Other Names 1

Doing Business AsSunstate Doctors Medical Group

Other Identifiers 1

Medicaid007662600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2052603

Tampa Bay Family Physicians Inc · Wimauma, FL
Active · expires Jan 14, 2027
CLIA Number10D2052603
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorKhushi A. Dhaliwal
Laboratory Phone(813) 633-2000
Laboratory LocationTampa Bay Family Physicians Inc5113 State Rd 674 - Ste 103, Wimauma, FL 33598
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tampa Bay Family Physicians Inc's NPI number?

The NPI number for Tampa Bay Family Physicians Inc is 1396000154. It was assigned to this organization in the NPPES registry on July 9, 2012. The provider is doing business as Sunstate Doctors Medical Group.

Where is Tampa Bay Family Physicians Inc located?

Tampa Bay Family Physicians Inc is located at 5113 State Road 674, Ste 103, Wimauma, FL 33598. The listed phone number is (813) 633-2000.

What is Tampa Bay Family Physicians Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Tampa Bay Family Physicians Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2052603) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tampa Bay Family Physicians Inc accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tampa Bay Family Physicians Inc 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 Tampa Bay Family Physicians Inc was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.