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

Nodal Medical Center LLC

Organization General Practice Physician · NPI 1114457272

Nodal Medical Center LLC is a General Practice Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
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

2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545
Phone: (813) 488-4801
Fax: (813) 405-4506
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 ACN693 (FL)

Record details

NPI number1114457272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osvanny Nodal — Medical Doctor · (813) 488-4801
NPI enumeratedJune 12, 2017
Last updated in NPPESJune 20, 2019
Mailing address2123 W Dr Martin Luther King Jr Blvd Ste 101, Tampa, FL 33607-6545

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