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

Nisos Health LLC

Organization Primary Care Clinic/Center · NPI 1750964607

Nisos Health LLC is a Primary Care Clinic/Center in St Petersburg, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
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

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone: (844) 900-2523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Radiology Clinic/Center Taxonomy 261QR0200X
Mobile Radiology Clinic/Center Taxonomy 261QR0208X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Taxonomy 335V00000X

Record details

NPI number1750964607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronnie Guha — Manager · (347) 304-9286
NPI enumeratedApril 29, 2021
Last updated in NPPESJuly 1, 2021
Certification dateJune 29, 2021
Mailing address7901 4th St N Ste 300, St Petersburg, FL 33702-4399

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