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ANGEL MEDICAL CLINIC, LLC
NPI 1881178242
Internal Medicine in Tampa, FL

Active since September 21, 2018CLIA 10D2169891 · Waiver
8001 N DALE MABRY HWY STE 701, TAMPA, FL 33614(813) 304-2330(813) 304-2346 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angel Medical Clinic, Llc NPPES

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

ANGEL MEDICAL CLINIC, LLC (NPI 1881178242), doing business as Kenadday Medical Clinic, is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through July 29, 2027, maintains a secondary practice location in Kissimmee, and lists David Omotayo Ikudayisi, Owner/pres, as its authorized official.

NPPES Registry Identity

NPI1881178242
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANGEL MEDICAL CLINIC, LLC
Location Address8001 N DALE MABRY HWY STE 701Tampa, FL 33614-3218
Mailing Address8019 N Himes Ave Ste 200Tampa, FL 33614-2760 · (813) 932-9798
Phone(813) 304-2330
Fax(813) 304-2346
Organization SubpartNo
Authorized OfficialDavid Omotayo IkudayisiOwner/pres · (813) 304-2330
Enumeration DateSeptember 21, 2018
✔ NPI 1881178242 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.
8001 N DALE MABRY HWY STE 701, Tampa, FL 33614
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Other Names 1

Doing Business AsKenadday Medical Clinic

Secondary Practice Location 1

Location 11400 W Oak St Ste AKissimmee, FL 34741-4000 · Phone (407) 944-0600 · Fax (407) 870-0091

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 10D2169891

Angel Medical Clinics · Kissimmee, FL
Active · expires Jul 29, 2027
CLIA Number10D2169891
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorDavid O. Ikudayisi
Laboratory Phone(407) 944-0600
Laboratory LocationAngel Medical Clinics1400 West Oak Street Suite A, Kissimmee, FL 34741
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

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

SPECIAL NEEDS TRANSPORTATION LLC
Transportation Broker
8001 N DALE MABRY HWY STE 701
TAMPA, FL 33614
Hillsborough County (813) 506-0691

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 Angel Medical Clinic, LLC's NPI number?

The NPI number for Angel Medical Clinic, LLC is 1881178242. It was assigned to this organization in the NPPES registry on September 21, 2018. The provider is doing business as Kenadday Medical Clinic.

Where is Angel Medical Clinic, LLC located?

Angel Medical Clinic, LLC is located at 8001 N Dale Mabry Hwy Ste 701, Tampa, FL 33614. The listed phone number is (813) 304-2330.

What is Angel Medical Clinic, LLC's specialty?

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

Does Angel Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2169891) is associated with this NPI, valid through July 29, 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 Angel Medical Clinic, LLC was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.