Healthcare Provider Details

I. General information

NPI: 1396678009
Provider Name (Legal Business Name): MAGNA HEALTH RESOURCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4422 COMMERCIAL WAY
SPRING HILL FL
34606-1966
US

IV. Provider business mailing address

6484 LAUREL OAK DR
SPRING HILL FL
34607-2321
US

V. Phone/Fax

Practice location:
  • Phone: 813-317-1787
  • Fax: 813-762-1471
Mailing address:
  • Phone: 813-846-7582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERICA HARVETTE CLIPPS
Title or Position: DIRECTOR
Credential: APRN
Phone: 813-846-7582