Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nodal Medical Center LLC

Organization General Practice Physician · NPI 1114457272

Nodal Medical Center LLC provides General Practice Physician services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545
Phone: (813) 488-4801
Fax: (813) 405-4506
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN693 (FL)

Record details

NPI number1114457272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osvanny Nodal — Medical Doctor · (813) 488-4801
NPI enumeratedJune 12, 2017
Last updated in NPPESJune 20, 2019
Mailing address2123 W Dr Martin Luther King Jr Blvd Ste 101, Tampa, FL 33607-6545

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