RAG MEDICAL CLINIC LLC
NPI 1528624053
Internal Medicine - Addiction Medicine in Tampa, FL
About Rag Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAG MEDICAL CLINIC LLC (NPI 1528624053), doing business as Phoenix Medical Clinic, is a healthcare organization registered as an addiction medicine in Tampa, Florida and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through March 8, 2028, maintains a secondary practice location in Tampa, and lists Ricardo A Gomez Fernandez, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted 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 10D2339830
Rag Medical Clinic LLC Dba Phoenix Medical Clinic · Tampa, FLOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33604
TAMPA, FL 33604
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 Rag Medical Clinic LLC's NPI number?
The NPI number for Rag Medical Clinic LLC is 1528624053. It was assigned to this organization in the NPPES registry on May 9, 2019. The provider is doing business as Phoenix Medical Clinic.
Where is Rag Medical Clinic LLC located?
Rag Medical Clinic LLC is located at 6408 N Armenia Ave Ste B-1, Tampa, FL 33604. The listed phone number is (813) 352-8305.
What is Rag Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.
Does Rag Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2339830) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rag Medical Clinic LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 25 other insurers list Rag Medical Clinic LLC 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 Rag Medical Clinic LLC was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Rag Medical Clinic Llc · NPI 1528624053
Addiction Medicine organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since May 9, 2019.
## Identity
- **NPI:** 1528624053 (Entity type: Organization)
- **Enumerated:** May 9, 2019
- **Primary specialty:** Internal Medicine - Addiction Medicine · taxonomy 207RA0401X
- **Also known as:** Phoenix Medical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ricardo Gomez Fernandez, ADMINISTRATOR
## Practice location
- **Address:** 6408 N ARMENIA AVE STE B-1, Tampa, FL 33604-5770
- **Phone:** (813) 352-8305
## Record status
- **NPPES last updated:** January 14, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528624053) · Data from the CMS NPPES public registry.