Healthcare Provider Details

I. General information

NPI: 1164361663
Provider Name (Legal Business Name): LARGO MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 STATE ROAD 580
CLEARWATER FL
33763-1127
US

IV. Provider business mailing address

2209 STATE ROAD 580
CLEARWATER FL
33763-1127
US

V. Phone/Fax

Practice location:
  • Phone: 727-788-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEBASTIAN STROM
Title or Position: CEO
Credential:
Phone: 727-588-5250