UNIVERSAL FAMILY CLINIC LLC
NPI 1720821135
Clinic/Center in Tampa, FL

Active since June 13, 2024
5352 N HABANA AVE STE D, TAMPA, FL 33614(813) 999-1103(813) 999-1373 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2025, Jun 13, 2024 (2 updates tracked since 2024).

About Universal Family Clinic Llc NPPES

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

UNIVERSAL FAMILY CLINIC LLC (NPI 1720821135) is a healthcare organization registered as a clinic/center in Tampa, Florida and active in the NPI registry since June 2024. The organization lists Orismelcy De Los Reyes Pupo, Aprn, as its authorized official.

NPPES Registry Identity

NPI1720821135
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameUNIVERSAL FAMILY CLINIC LLC
Location Address5352 N HABANA AVE STE DTampa, FL 33614-6838
Mailing Address5352 N Habana Ave Ste DTampa, FL 33614-6838 · (813) 999-1103 · Fax (813) 999-1373
Fax(813) 999-1373
Organization SubpartNo
Authorized OfficialOrismelcy De Los Reyes PupoAprn · (813) 999-1103
Enumeration DateJune 13, 2024
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1720821135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
5352 N HABANA AVE STE D, Tampa, FL 33614

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Universal Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Universal Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1659965820
5352 N HABANA AVE STE D
Tampa, FL 33614
(813) 999-1103
✔ PECOSSame address
Nurse Practitioner
NPI 1568129930
9304 ATTENBURY DR
Tampa, FL 33615
(281) 409-4629
✔ PECOS6.6 mi
Internal Medicine
NPI 1740637768
119 OAKFIELD DR
Brandon, FL 33511
(813) 681-5551
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2310966

Universal Family Clinic LLC · Tampa, FL
Expired · Sep 12, 2026
CLIA Number10D2310966
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorOrismelcy De Los Reyes Pupo
Laboratory Phone(813) 999-1103
Laboratory LocationUniversal Family Clinic LLC5352 N Habana Ave Ste D, Tampa, FL 33614
CLIA data matches this NPI record on: Address Name 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 Universal Family Clinic LLC's NPI number?

The NPI number for Universal Family Clinic LLC is 1720821135. It was assigned to this organization in the NPPES registry on June 13, 2024.

Where is Universal Family Clinic LLC located?

Universal Family Clinic LLC is located at 5352 N Habana Ave Ste D, Tampa, FL 33614. The listed phone number is (813) 999-1103.

What is Universal Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Universal Family Clinic LLC enrolled in Medicare?

Yes. Universal Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Universal Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Universal Family Clinic LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Universal Family Clinic LLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.