Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

ED Medical Therapy Center, Inc

Organization General Practice Physician · NPI 1790060333

ED Medical Therapy Center, Inc provides General Practice Physician services in Tampa, Florida. Licensed in Micronesia. Registered with an NPI since 2011.

Licensed in
FM
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4311 W Waters Ave Suit #205
Tampa, FL 33614 Not confirmed with CMS for 11 years — call before visiting
Phone: (813) 407-1591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence HCC9274 (FM)

Record details

NPI number1790060333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janis Gomez — President · (813) 407-1591
Other names Ed Medical Therapy Center, Inc.
NPI enumeratedOctober 14, 2011
Last updated in NPPESMay 5, 2015
Mailing address4311 W Waters Ave, Suite 205, Tampa, FL 33614

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