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

St John's Medical Clinic, PA

Organization General Practice Physician · NPI 1508166786

St John's Medical Clinic, PA provides General Practice Physician services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12001 N Nebraska Ave
Tampa, FL 33612-5343 Not confirmed with CMS for 15 years — call before visiting
Phone: (813) 972-1282
Fax: (813) 978-1677
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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 ME41425 (FL)

Record details

NPI number1508166786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chi-Shang Chen — Owner · (813) 972-1282
NPI enumeratedOctober 22, 2010
Last updated in NPPESOctober 22, 2010
Mailing address12001 N Nebraska Ave, Tampa, FL 33612-5343

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