PREMISE HEALTH OF FLORIDA MEDICAL PA
NPI 1750099750
Clinic/Center - Multi-Specialty in Tampa, FL

Active since November 08, 2022CLIA 10D0946831 · Waiver
3800 CITI HEALTH SERVICES CENTER, TAMPA MEDICAL SERVICES BLDG C, TAMPA, FL 33610(813) 604-4333(813) 604-4337 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premise Health Of Florida Medical Pa NPPES

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

PREMISE HEALTH OF FLORIDA MEDICAL PA (NPI 1750099750), doing business as Live Well At Citi - Tampa, is a healthcare organization registered as a multi-specialty in Tampa, Florida and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1750099750
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF FLORIDA MEDICAL PA
Location Address3800 CITI HEALTH SERVICES CENTER, TAMPA MEDICAL SERVICES BLDG CTampa, FL 33610
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(813) 604-4337
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateNovember 8, 2022
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1750099750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3800 CITI HEALTH SERVICES CENTER, Tampa, FL 33610

Other Names 1

Doing Business AsLive Well At Citi - Tampa

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 10D0946831

Premise Health Of Florida Medical, PA · Tampa, FL
Active · expires Jun 2, 2028
CLIA Number10D0946831
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorNicole Nicophene
Laboratory Phone(813) 604-4333
Laboratory LocationPremise Health Of Florida Medical, PA3800 Citi Health Service Center Tampa Medical Services - Bldg C, Tampa, FL 33610
CLIA data matches this NPI record on: 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 Premise Health Of Florida Medical PA's NPI number?

The NPI number for Premise Health Of Florida Medical PA is 1750099750. It was assigned to this organization in the NPPES registry on November 8, 2022. The provider is doing business as Live Well at Citi - Tampa.

Where is Premise Health Of Florida Medical PA located?

Premise Health Of Florida Medical PA is located at 3800 Citi Health Services Center Tampa Medical Services Bldg C, Tampa, FL 33610. The listed phone number is (813) 604-4333.

What is Premise Health Of Florida Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Florida Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0946831) is associated with this NPI, valid through June 2, 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 Premise Health Of Florida Medical PA was last updated on February 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.