Healthcare Provider Details

I. General information

NPI: 1790402972
Provider Name (Legal Business Name): SAINT VIL MEDICAL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2022
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15415 N FLORIDA AVE
TAMPA FL
33613-1243
US

IV. Provider business mailing address

3520 CROAKER DR
HERNANDO BEACH FL
34607-3640
US

V. Phone/Fax

Practice location:
  • Phone: 813-264-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: FRANTZ SAINT VIL
Title or Position: CEO
Credential: MD
Phone: 813-992-5080