ED MEDICAL THERAPY CENTER, INC.
NPI 1790060333
General Practice in Tampa, FL

Q: What is Ed Medical Therapy Center, Inc.'s NPI number?

The NPI number for Ed Medical Therapy Center, Inc. is 1790060333. It was assigned to this organization in the NPPES registry on October 14, 2011.

Q: What is Ed Medical Therapy Center, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 14, 2011

4311 W WATERS AVE, SUIT #205, TAMPA, FL 33614(813) 407-1591 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ed Medical Therapy Center, Inc. NPPES

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

ED MEDICAL THERAPY CENTER, INC. (NPI 1790060333) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since October 2011. The organization lists Janis Gomez, President, as its authorized official.

NPPES Registry Identity

NPI1790060333

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameED MEDICAL THERAPY CENTER, INC.

Location Address4311 W WATERS AVE, SUIT #205Tampa, FL 33614

Mailing Address4311 W Waters Ave, Suite 205Tampa, FL 33614 · (813) 407-1591

Phone(813) 407-1591

Organization SubpartNo

Authorized OfficialJanis GomezPresident · (813) 407-1591

Enumeration DateOctober 14, 2011

Last NPPES UpdateMay 5, 2015

✔ NPI 1790060333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FM · HCC9274

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4311 W WATERS AVE, Tampa, FL 33614

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Other Names 1

Former Legal Business NameEd Medical Therapy Center, Inc.

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

Other Providers at the Same Location NPPES 2

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

DAVE D NGUYEN RPH

Pharmacist

4311 W WATERS AVE
TAMPA, FL 33614

Hillsborough County (813) 249-6593

A&G MEDICAL CENTER INC

Chiropractor

4311 W WATERS AVE, SUITE 590
TAMPA, FL 33614

Hillsborough County (813) 249-9262

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 Ed Medical Therapy Center, Inc.'s NPI number?

The NPI number for Ed Medical Therapy Center, Inc. is 1790060333. It was assigned to this organization in the NPPES registry on October 14, 2011.

Where is Ed Medical Therapy Center, Inc. located?

Ed Medical Therapy Center, Inc. is located at 4311 W Waters Ave Suit #205, Tampa, FL 33614. The listed phone number is (813) 407-1591.

What is Ed Medical Therapy Center, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ed Medical Therapy Center, Inc. was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.