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LA VIDA MEDICAL GROUP , INC
NPI 1437960077
Internal Medicine in Tampa, FL

Active since January 14, 2025CLIA 10D2318850 · Waiver
3802 GUNN HWY, TAMPA, FL 33618(813) 296-6266(813) 522-8929 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About La Vida Medical Group , Inc NPPES

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

LA VIDA MEDICAL GROUP , INC (NPI 1437960077) is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Sanlly Perez Ceballos, President, as its authorized official.

NPPES Registry Identity

NPI1437960077
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLA VIDA MEDICAL GROUP , INC
Location Address3802 GUNN HWYTampa, FL 33618-8793
Mailing Address3802 Gunn HwyTampa, FL 33618-8793 · (813) 296-6266 · Fax (813) 522-8929
Phone(813) 296-6266
Fax(813) 522-8929
Organization SubpartYesParent: La Vida Medical Group Inc
Authorized OfficialSanlly Perez CeballosPresident · (813) 296-6266
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1437960077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/CenterTaxonomy 261Q00000X
3802 GUNN HWY, Tampa, FL 33618
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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

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 10D2318850

La Vida Medical Group Inc · Tampa, FL
Active · expires Feb 18, 2027
CLIA Number10D2318850
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorSanlly Perez Ceballos
Laboratory Phone(813) 296-6266
Laboratory LocationLa Vida Medical Group Inc3802 Gunn Hwy Suite A, Tampa, FL 33618
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 La Vida Medical Group , Inc's NPI number?

The NPI number for La Vida Medical Group , Inc is 1437960077. It was assigned to this organization in the NPPES registry on January 14, 2025.

Where is La Vida Medical Group , Inc located?

La Vida Medical Group , Inc is located at 3802 Gunn Hwy, Tampa, FL 33618. The listed phone number is (813) 296-6266.

What is La Vida Medical Group , Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does La Vida Medical Group , Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2318850) is associated with this NPI, valid through February 18, 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 La Vida Medical Group , Inc was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.