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SHILOH MEDICAL GROUP
NPI 1477119519
Clinic/Center - Multi-Specialty in Tampa, FL

Active since May 14, 2019
10549 N FLORIDA AVE STE J, TAMPA, FL 33612(813) 252-0242 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2022, Jul 21, 2020, Jul 7, 2020 and 2 more (5 updates tracked since 2019).

About Shiloh Medical Group NPPES

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

SHILOH MEDICAL GROUP (NPI 1477119519) is a healthcare organization registered as a multi-specialty in Tampa, Florida and active in the NPI registry since May 2019. The organization lists Stephen O Banjoko, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477119519
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSHILO LLC
Location Address10549 N FLORIDA AVE STE JTampa, FL 33612-6707
Mailing AddressPo Box 17175Tampa, FL 33682-7175
Phone(813) 252-0242
Organization SubpartNo
Authorized OfficialStephen O BanjokoCfo · (212) 257-0225
Enumeration DateMay 14, 2019
Last NPPES UpdateJanuary 5, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1477119519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
10549 N FLORIDA AVE STE J, Tampa, FL 33612
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Other Names 2

Doing Business AsShiloh Medical Group
Doing Business AsTampa Pain Clinic

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 Shilo LLC's NPI number?

The NPI number for Shilo LLC is 1477119519. It was assigned to this organization in the NPPES registry on May 14, 2019. The provider is doing business as Shiloh Medical Group and Tampa Pain Clinic.

Where is Shilo LLC located?

Shilo LLC is located at 10549 N Florida Ave Ste J, Tampa, FL 33612. The listed phone number is (813) 252-0242.

What is Shilo LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Shilo LLC was last updated on January 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.