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

ED Medical Therapy Center, Inc

Organization General Practice Physician · NPI 1790060333

ED Medical Therapy Center, Inc is a General Practice Physician in Tampa, Florida. Licensed in Micronesia. Registered with an NPI since 2011.

Licensed in
FM
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4311 W Waters Ave Suit #205
Tampa, FL 33614
Phone: (813) 407-1591
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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 HCC9274 (FM)

Record details

NPI number1790060333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janis Gomez — President · (813) 407-1591
Other names Ed Medical Therapy Center, Inc.
NPI enumeratedOctober 14, 2011
Last updated in NPPESMay 5, 2015
Mailing address4311 W Waters Ave, Suite 205, Tampa, FL 33614

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