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PHILOTEMO HEALTH AND WELLNESS
NPI 1639850563
Clinic/Center - Primary Care in Tampa, FL

Active since July 25, 2023CLIA 10D2297595 · Waiver
4010 W STATE ST, TAMPA, FL 33609(813) 758-0305 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philotemo Health And Wellness NPPES

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

PHILOTEMO HEALTH AND WELLNESS (NPI 1639850563) is a healthcare organization registered as a primary care in Tampa, Florida and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Edith L Kavouklis, Owner/mgr, as its authorized official.

NPPES Registry Identity

NPI1639850563
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePHILOTEMO HEALTH AND WELLNESS
Location Address4010 W STATE STTampa, FL 33609-1264
Mailing Address4010 W State StTampa, FL 33609-1264 · (813) 758-0305
Phone(813) 758-0305
Organization SubpartNo
Authorized OfficialEdith L KavouklisOwner/mgr · (813) 758-0305
Enumeration DateJuly 25, 2023
NPPES CertifiedJuly 25, 2023
✔ NPI 1639850563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4010 W STATE ST, Tampa, FL 33609
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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 10D2297595

Philotemo Health And Wellness · Tampa, FL
Active · expires Jan 17, 2028
CLIA Number10D2297595
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorEdith Lorraine Kavouklis
Laboratory Phone(813) 355-0325
Laboratory LocationPhilotemo Health And Wellness4010 W State St, Tampa, FL 33609
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEOS AESTHETICS
Clinic/Center
4010 W STATE ST
TAMPA, FL 33609
Hillsborough County (813) 758-0305
DR NICK'S WHITE & HEALTHY, INC
Clinic/Center (Dental)
4010 W STATE ST
TAMPA, FL 33609
Hillsborough County (813) 445-7162
NICHOLAS MICHAEL KAVOUKLIS DMD
Dentist (General Practice)
4010 W STATE ST
TAMPA, FL 33609
Hillsborough County (813) 793-7046
EDITH LORRAINE KAVOUKLIS RN, APRN
Nurse Practitioner
4010 W STATE ST
TAMPA, FL 33609
Hillsborough County (813) 758-0305
COMMUNITY DENTAL SERVICES
Dentist
4010 W STATE ST
TAMPA, FL 33609
Hillsborough County (813) 793-7032
ARGUS DENTAL AND VISION, INC.
Exclusive Provider Organization
4010 W STATE ST
TAMPA, FL 33609
Hillsborough County (813) 514-9562

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 Philotemo Health And Wellness's NPI number?

The NPI number for Philotemo Health And Wellness is 1639850563. It was assigned to this organization in the NPPES registry on July 25, 2023.

Where is Philotemo Health And Wellness located?

Philotemo Health And Wellness is located at 4010 W State St, Tampa, FL 33609. The listed phone number is (813) 758-0305.

What is Philotemo Health And Wellness's specialty?

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

Does Philotemo Health And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2297595) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Philotemo Health And Wellness was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.