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

Green Lake Village Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1790504694

Green Lake Village Inc is a Durable Medical Equipment & Medical Supplies in Tampa, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

1107 E Jackson St Ste 208
Tampa, FL 33602-4161
Phone: (813) 280-1199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1790504694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Rodriquez Figueroa — Owner · (813) 280-1199
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 4, 2024
Mailing address1107 E Jackson St Ste 208, Tampa, FL 33602-4161

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