DESROCHES MEDICAL CLINIC LLC
NPI 1720625775
Nurse Practitioner - Family in Tampa, FL

Q: What is Desroches Medical Clinic LLC's NPI number?

The NPI number for Desroches Medical Clinic LLC is 1720625775. It was assigned to this organization in the NPPES registry on December 9, 2019.

Q: What is Desroches Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 09, 2019

10071 MONTAGUE ST, TAMPA, FL 33626(321) 208-2390 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Dec 9, 2019 (2 updates tracked since 2019).

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About Desroches Medical Clinic Llc NPPES

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

DESROCHES MEDICAL CLINIC LLC (NPI 1720625775) is a healthcare organization registered as a family in Tampa, Florida and active in the NPI registry since December 2019. The organization lists Danielle Desroches, Aprn, as its authorized official.

NPPES Registry Identity

NPI1720625775

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameDESROCHES MEDICAL CLINIC LLC

Location Address10071 MONTAGUE STTampa, FL 33626-3362

Mailing Address10071 Montague StTampa, FL 33626-1855 · (321) 208-2390

Phone(321) 208-2390

Organization SubpartNo

Authorized OfficialDanielle DesrochesAprn · (321) 208-2390

Enumeration DateDecember 9, 2019

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 9, 2019

✔ NPI 1720625775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

10071 MONTAGUE ST, Tampa, FL 33626

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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

Other Providers at the Same Location NPPES

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

DANIELLE DESROCHES APRN

Nurse Practitioner (Family)

10071 MONTAGUE ST
TAMPA, FL 33626

Hillsborough County (321) 208-2390

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 Desroches Medical Clinic LLC's NPI number?

The NPI number for Desroches Medical Clinic LLC is 1720625775. It was assigned to this organization in the NPPES registry on December 9, 2019.

Where is Desroches Medical Clinic LLC located?

Desroches Medical Clinic LLC is located at 10071 Montague St, Tampa, FL 33626. The listed phone number is (321) 208-2390.

What is Desroches Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Desroches Medical Clinic LLC was last updated on March 7, 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.