1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Clinic Center
  6. NPI Profile

MAIN STREET MEDICAL CENTERS
NPI 1487079505
Clinic/Center - Primary Care in Tampa, FL

Active since February 26, 2014
10549 N FLORIDA AVE STE A, TAMPA, FL 33612(813) 220-1400(813) 440-6484 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Feb 7, 2024, Jan 25, 2023 and 8 more (11 updates tracked since 2018).

About Main Street Medical Centers NPPES

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

MAIN STREET MEDICAL CENTERS (NPI 1487079505) is a healthcare organization registered as a primary care in Tampa, Florida and active in the NPI registry since February 2014. The organization maintains a secondary practice location in Port Richey and lists Stephen O Banjoko, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487079505
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAIN STREET MEDICAL LLC
Location Address10549 N FLORIDA AVE STE ATampa, FL 33612-6707
Mailing AddressPo Box 17175Tampa, FL 33682-7175 · (813) 220-1400 · Fax (813) 341-4004
Phone(813) 220-1400
Fax(813) 440-6484
Organization SubpartNo
Authorized OfficialStephen O BanjokoCfo · (212) 257-0225
Enumeration DateFebruary 26, 2014
Last NPPES UpdateOctober 3, 202411 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1487079505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
10549 N FLORIDA AVE STE A, Tampa, FL 33612
Open in Google Maps ↗

Other Names 1

Doing Business AsMain Street Medical Centers

Secondary Practice Location 1

Location 16506 Embassy BlvdPort Richey, FL 34668-4734 · Phone (727) 387-8228 · Fax (727) 387-8020

Other Identifiers 2

Medicaid104624600FL
OtherLK078FL · Medicare

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

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.

COLLINS AMOAH
Pharmacist
10549 N FLORIDA AVE STE A
TAMPA, FL 33612
Hillsborough County (813) 221-3131
TATA RESOURCES LLC
Durable Medical Equipment & Medical Supplies
10549 N FLORIDA AVE STE A
TAMPA, FL 33612
Hillsborough County (813) 221-3131
DR. GREGORY F SARIC M.D., P.C
Family Medicine
10549 N FLORIDA AVE STE A
TAMPA, FL 33612
Hillsborough County (813) 220-1400

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 Main Street Medical LLC's NPI number?

The NPI number for Main Street Medical LLC is 1487079505. It was assigned to this organization in the NPPES registry on February 26, 2014. The provider is doing business as Main Street Medical Centers.

Where is Main Street Medical LLC located?

Main Street Medical LLC is located at 10549 N Florida Ave Ste A, Tampa, FL 33612. The listed phone number is (813) 220-1400.

What is Main Street Medical LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Main Street Medical LLC was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.