JI UNIVERSAL MEDICAL GROUP LLC
NPI 1811518111
Nurse Practitioner in Tampa, FL

Active since April 28, 2020CLIA 10D2210595 · Waiver
8903 REGENTS PARK DR STE 120, TAMPA, FL 33647(813) 577-2622(813) 354-2670 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ji Universal Medical Group Llc NPPES

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

JI UNIVERSAL MEDICAL GROUP LLC (NPI 1811518111) is a healthcare organization registered as a nurse practitioner in Tampa, Florida and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Julie Igilar, Owner, as its authorized official.

NPPES Registry Identity

NPI1811518111
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameJI UNIVERSAL MEDICAL GROUP LLC
Location Address8903 REGENTS PARK DR STE 120Tampa, FL 33647-3083
Mailing Address8903 Regents Park Dr Ste 120Tampa, FL 33647-3083 · (813) 577-2622 · Fax (813) 354-2670
Fax(813) 354-2670
Organization SubpartNo
Authorized OfficialJulie IgilarOwner · (813) 577-2622
Enumeration DateApril 28, 2020
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedOctober 29, 2020
NPI 1811518111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8903 REGENTS PARK DR STE 120, Tampa, FL 33647

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

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 10D2210595

Ji Universal Medical Group LLC · Tampa, FL
Active · expires Jan 21, 2027
CLIA Number10D2210595
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorJulie Igilar
Laboratory Phone(813) 577-2622
Laboratory LocationJi Universal Medical Group LLC8903 Regents Park Dr - Ste 120, Tampa, FL 33647
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Family)
8903 REGENTS PARK DR STE 120
TAMPA, FL 33647
Nurse Practitioner
8903 REGENTS PARK DR STE 120
TAMPA, FL 33647

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 Ji Universal Medical Group LLC's NPI number?

The NPI number for Ji Universal Medical Group LLC is 1811518111. It was assigned to this organization in the NPPES registry on April 28, 2020.

Where is Ji Universal Medical Group LLC located?

Ji Universal Medical Group LLC is located at 8903 Regents Park Dr Ste 120, Tampa, FL 33647. The listed phone number is (813) 577-2622.

What is Ji Universal Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Ji Universal Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2210595) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ji Universal Medical Group LLC was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.