CENTER FOR MEN'S HEALTH - BRANDON
NPI 1679848907
Clinic/Center - Medical Specialty in Brandon, FL

Q: What is Center For Men's Health - Brandon's NPI number?

The NPI number for Center For Men's Health - Brandon is 1679848907. It was assigned to this organization in the NPPES registry on March 20, 2012.

Q: What is Center For Men's Health - Brandon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since March 20, 2012CLIA 10D2082855 · Waiver

1109 PROFESSIONAL PARK DR, BRANDON, FL 33511(813) 409-2042(813) 409-2044 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Center For Men's Health - Brandon NPPES

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

CENTER FOR MEN'S HEALTH - BRANDON (NPI 1679848907) is a healthcare organization registered as a medical specialty in Brandon, Florida and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Paul A Sloan, Group Administrator, as its authorized official.

NPPES Registry Identity

NPI1679848907

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameCENTER FOR MEN'S HEALTH - BRANDON

Location Address1109 PROFESSIONAL PARK DRBrandon, FL 33511-4887

Mailing Address1109 Professional Park DrBrandon, FL 33511-4887 · (813) 409-2042 · Fax (813) 409-2044

Phone(813) 409-2042

Fax(813) 409-2044

Organization SubpartNo

Authorized OfficialPaul A SloanGroup Administrator · (941) 349-6583

Enumeration DateMarch 20, 2012

Last NPPES UpdateMay 9, 2012

✔ NPI 1679848907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in FL · ME39549

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1109 PROFESSIONAL PARK DR, Brandon, FL 33511

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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 10D2082855

Center For Men Health Brandon · Brandon, FL

Active · expires Aug 24, 2026

CLIA Number10D2082855

Laboratory TypePhysician Office

Certificate Effective DateAugust 25, 2024

Certificate Expiration DateAugust 24, 2026

Laboratory DirectorJames A. Derespino

Laboratory Phone(813) 409-2042

Laboratory LocationCenter For Men Health Brandon1109 Professional Park Dr, Brandon, FL 33511

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Center For Men's Health - Brandon's NPI number?

The NPI number for Center For Men's Health - Brandon is 1679848907. It was assigned to this organization in the NPPES registry on March 20, 2012.

Where is Center For Men's Health - Brandon located?

Center For Men's Health - Brandon is located at 1109 Professional Park Dr, Brandon, FL 33511. The listed phone number is (813) 409-2042.

What is Center For Men's Health - Brandon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Center For Men's Health - Brandon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2082855) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Center For Men's Health - Brandon was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.