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PROGRESSIVE FAMILY CARE LLC
NPI 1629885462
Family Medicine in Tampa, FL

Active since December 16, 2024CLIA 10D2317701 · Waiver
4504 WISHART PL, TAMPA, FL 33603(813) 605-7775(813) 605-7160 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Dec 16, 2024 (2 updates tracked since 2024).

About Progressive Family Care Llc NPPES

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

PROGRESSIVE FAMILY CARE LLC (NPI 1629885462) is a healthcare organization registered as a family medicine in Tampa, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Michael Smith, President, as its authorized official.

NPPES Registry Identity

NPI1629885462
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROGRESSIVE FAMILY CARE LLC
Location Address4504 WISHART PLTampa, FL 33603-2724
Mailing Address4504 Wishart PlTampa, FL 33603-2724 · (813) 605-7775 · Fax (813) 605-7160
Phone(813) 605-7775
Fax(813) 605-7160
Organization SubpartNo
Authorized OfficialMichael SmithPresident · (813) 770-2782
Enumeration DateDecember 16, 2024
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1629885462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4504 WISHART PL, Tampa, FL 33603
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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 10D2317701

Progressive Family Care LLC · Tampa, FL
Active · expires Jan 29, 2027
CLIA Number10D2317701
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorMurthy S. Ravipati
Laboratory Phone(813) 605-7775
Laboratory LocationProgressive Family Care LLC4504 Wishart Pl, Tampa, FL 33603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

CHILDREN & PARENTS ABA & COUNSELING CENTER CORP
Community/Behavioral Health
4504 WISHART PL
TAMPA, FL 33603
Hillsborough County (813) 348-4814
DIVERSE BEHAVIORAL SERVICES CORP
Clinic/Center (Adolescent and Children Mental Health)
4504 WISHART PL
TAMPA, FL 33603
Hillsborough County (813) 610-3262
LEONARDO SANCHEZ ORTIZ APRN
Nurse Practitioner
4504 WISHART PL
TAMPA, FL 33603
Hillsborough County (813) 605-7775

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 Progressive Family Care LLC's NPI number?

The NPI number for Progressive Family Care LLC is 1629885462. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Progressive Family Care LLC located?

Progressive Family Care LLC is located at 4504 Wishart Pl, Tampa, FL 33603. The listed phone number is (813) 605-7775.

What is Progressive Family Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Progressive Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2317701) is associated with this NPI, valid through January 29, 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 Progressive Family Care LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.