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

Ketamine123Llc

Organization Multi-Specialty Clinic/Center · NPI 1265195812

Ketamine123Llc is a Multi-Specialty Clinic/Center in Tampa, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3450 E Fletcher Ave Ste 300
Tampa, FL 33613-4659
Phone: (813) 632-3223
Fax: (813) 632-3224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1265195812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clint Fletcher — Owner · (615) 300-3096
Other names Ketamine Solutions Of Tampa; Ketamine Solutions Of Tampa
NPI enumeratedOctober 20, 2021
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address3450 E Fletcher Ave Ste 300, Tampa, FL 33613-4659

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