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

Covenant Medical Clinic

Organization General Practice Physician · NPI 1528380748

Covenant Medical Clinic is a General Practice Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

2812 W Dr Martin Luther King Jr Blvd Ste 2
Tampa, FL 33607-6306
Phone: (813) 874-0850
Fax: (813) 874-0590
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 126336 (FL)

Record details

NPI number1528380748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mobolanle Fadare — Owner · (813) 874-0850
NPI enumeratedFebruary 16, 2010
Last updated in NPPESFebruary 16, 2010
Mailing address2812 W Dr Martin Luther King Jr Blvd, Suite 2, Tampa, FL 33607-6306

Other providers in Tampa