Healthcare Provider Details

I. General information

NPI: 1437043379
Provider Name (Legal Business Name): ACCESS MEDICAL GROUP OF HILLSBOROUGH PEDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3611 W HILLSBOROUGH AVE STE 206
TAMPA FL
33614-5757
US

IV. Provider business mailing address

6100 BLUE LAGOON DR STE 365
MIAMI FL
33126-7010
US

V. Phone/Fax

Practice location:
  • Phone: 813-725-3033
  • Fax: 813-330-2233
Mailing address:
  • Phone: 786-322-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAYNY RAMIREZ
Title or Position: CEO
Credential:
Phone: 786-322-7333