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

Main Street Medical Clinic

Organization Specialist · NPI 1346570389

Main Street Medical Clinic provides Specialist services in Thonotosassa, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

10802 E Main St Ste B
Thonotosassa, FL 33592-2840 Not confirmed with CMS for 16 years — call before visiting
Phone: (813) 413-8258
Fax: (813) 413-8310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME88205 (FL)

Record details

NPI number1346570389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omosalewa Ogundipe — Director · (813) 413-8258
NPI enumeratedJanuary 13, 2010
Last updated in NPPESJanuary 13, 2010
Mailing address10802 E. Main Street, Ste. B, Thonotossassa, FL 33592

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