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

Avita Medical Clinic LLC

Organization General Practice Physician · NPI 1992302574

Avita Medical Clinic LLC is a General Practice Physician in Tampa, Florida. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
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

14831 N Florida Ave
Tampa, FL 33613-1825
Phone: (813) 330-2737
Fax: (813) 210-9205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14839 N Florida Ave, Tampa, FL 33613-1825 — (813) 330-2737

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1992302574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Segarra — President · (813) 330-2737
NPI enumeratedOctober 6, 2020
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address14831 N Florida Ave, Tampa, FL 33613-1825

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