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

Waters Edge Medical Clinic Tampa LLC

Organization Multi-Specialty Clinic/Center · NPI 1265054803

Waters Edge Medical Clinic Tampa LLC is a Multi-Specialty Clinic/Center in St Petersburg, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

1700 66th St N Ste 304
St Petersburg, FL 33710-5500
Phone: (727) 550-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1265054803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vida Vodopalas-Puodziunas — Owner · (815) 603-9683
NPI enumeratedMay 16, 2020
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address1700 66th St N Ste 304, St Petersburg, FL 33710-5500

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