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WATERS MEDICAL CLINIC
NPI 1861146201
Internal Medicine in Tampa, FL

Active since February 04, 2022CLIA 10D1041032 · Waiver
8408 N GRADY AVE, TAMPA, FL 33614(813) 885-9091(813) 324-1133 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 16, 2024, Dec 12, 2022, Feb 4, 2022 (3 updates tracked since 2022).

About Waters Medical Clinic NPPES

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

WATERS MEDICAL CLINIC (NPI 1861146201) is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through May 23, 2027, maintains a secondary practice location in St Petersburg, and lists Penelope Kokkinides, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1861146201
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameORLANDO FAMILY PHYSICIANS, LLC
Location Address8408 N GRADY AVETampa, FL 33614-1907
Mailing Address6900 Tavistock Lakes Blvd Ste 300Orlando, FL 32827-7592 · (321) 332-6947
Phone(813) 885-9091
Fax(813) 324-1133
Organization SubpartYes
Authorized OfficialPenelope KokkinidesChief Administrative Officer · (201) 270-7825
Enumeration DateFebruary 4, 2022
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1861146201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8408 N GRADY AVE, Tampa, FL 33614
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Other Names 1

Doing Business AsWaters Medical Clinic

Secondary Practice Location 1

Location 15051 66th St NSt Petersburg, FL 33709-3119 · Phone (727) 800-6708 · Fax (813) 324-1133

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D1041032

Orlando Family Physicians, LLC Dba Waters Medical Clinic · Tampa, FL
Active · expires May 23, 2027
CLIA Number10D1041032
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorThanhmy Nguyen
Laboratory Phone(813) 885-9091
Laboratory LocationOrlando Family Physicians, LLC Dba Waters Medical Clinic8408 N Grady Ave, 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.

Other Providers at the Same Location NPPES 4

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

MS. THUYAN THI NGUYEN APRN
Nurse Practitioner (Family)
8408 N GRADY AVE
TAMPA, FL 33614
Hillsborough County (813) 885-9091
DR. THANHMY NGUYEN M.D.
Internal Medicine
8408 N GRADY AVE
TAMPA, FL 33614
Hillsborough County (813) 885-9091
HOA NGUYEN PA
Physician Assistant
8408 N GRADY AVE
TAMPA, FL 33614
Hillsborough County (813) 885-9091
MS. JESSICA HANNAH MAJOR PA
Physician Assistant
8408 N GRADY AVE
TAMPA, FL 33614
Hillsborough County (813) 885-9091

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 Orlando Family Physicians, LLC's NPI number?

The NPI number for Orlando Family Physicians, LLC is 1861146201. It was assigned to this organization in the NPPES registry on February 4, 2022. The provider is doing business as Waters Medical Clinic.

Where is Orlando Family Physicians, LLC located?

Orlando Family Physicians, LLC is located at 8408 N Grady Ave, Tampa, FL 33614. The listed phone number is (813) 885-9091.

What is Orlando Family Physicians, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Orlando Family Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1041032) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Orlando Family Physicians, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Orlando Family Physicians, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Orlando Family Physicians, LLC was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.